Joseph Clarke, LSW
Individual provider Active NPI Social Worker · Forty Fort, PA
NPI 1346961398 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1346961398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SW137674 (PA)
- Practice address
- 48 Bidlack St
Forty Fort, PA 18704-4121 - Phone
- (570) 762-4366
- NPI assigned
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW137674 | PA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW137674 | PA | Yes |
Addresses
Primary practice location
48 Bidlack St
Forty Fort, PA 18704-4121
Mailing address
48 Bidlack St
Forty Fort, PA 18704-4121
Phone (570) 762-4366
Other providers in Forty Fort, PA
- Charles Mark Carpenter
- Charlotte L Casterline
- Jenna Lynn Chackan
- Cornelia Chmil
- Tracy Ann Chorpenning
- Dean M. Clerico
- Joan Cochran
- Maria Lynn Conley
- John Joseph Della Rosa
- Ravi Desai
All providers in Forty Fort, PA · Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.