Individual provider Active NPI

Michael Phillip Joseph, MSW, LCSW

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1083709646
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CWO13880 Issued in PA
Practice address
65 East Elizabeth Avenue
Suite 117
Bethlehem, PA 18018-6506
Phone
(610) 865-1799
Fax
(610) 865-1799
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CWO13880 PA Primary

Addresses

Primary practice location

65 East Elizabeth Avenue
Suite 117
Bethlehem, PA 18018-6506

Mailing address

65 East Elizabeth Avenue
Suite 117
Bethlehem, PA 18018-6506
Phone (610) 865-1799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CWO13880PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083709646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 EAST ELIZABETH AVENUE",
            "address_2": "SUITE 117",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186506",
            "telephone_number": "610-865-1799",
            "fax_number": "610-865-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 EAST ELIZABETH AVENUE",
            "address_2": "SUITE 117",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186506",
            "telephone_number": "610-865-1799",
            "fax_number": "610-865-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO13880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.