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NPI Code Detail

MEDICARE: JOSEPH THORP LMSW

MEDICARE: JOSEPH THORP LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorMSW011870GA
2101YM0800XMental Health CounselorMSW011870GA
3101YP2500XProfessional CounselorMSW011870GA
4171M00000XCase Manager/Care CoordinatorMSW011870GA
5171W00000XContractor
6175T00000XPeer Specialist
71041C0700XClinical Social WorkerMSW011870GA

General Provider Information

NPI Number : 1962290817
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH THORP LMSW
Provider Business Mailing Address
First Line : 77 12TH ST NE UNIT 2218
Second Line :
City : ATLANTA
State : GA
Zip : 30309-4084
Country : US
Telephone Number : 202-538-5866
Fax Number :
Provider Business Practice Location Address
First Line : 50 LENOX POINTE NE STE A
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3103
Country : US
Telephone Number : 678-824-6590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2025
Last Update Date : 05/06/2025

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