Joseph Kwak IV, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021266 Issued in PA

Practice address

150 E Swedesford Rd Ste 2a
Wayne, PA 19087-1458

Phone

(484) 798-9977

NPI assigned

Jun 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1467010710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SWEDESFORD RD STE 2A",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871458",
            "telephone_number": "484-798-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SWEDESFORD RD STE 2A",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871458",
            "telephone_number": "484-798-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-02",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elizabeth Kreis, M.S. CCC-SLP
• Eileen Marie Krieg, SLP
• Kathleen M. Krieger, R.PH.
• Michael Timothy Kryshtalskyj, M.D.
• Kelly Anne Kurnz, CCC-SLP
• Devangi Ladani, APRN
• Nicole Laman
• Joel Lampley, HIS
• Lisa-Marie Lanciotti, PT
• Kaelee Landis

• Clinical Social Worker in Wayne, PA
• Providers in Wayne, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.