Joseph J Harper, LCSW
Individual provider Active NPI Clinical Social Worker · New Athens, IL
NPI 1679607147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679607147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 513 Church St
New Athens, IL 62264-1584 - Phone
- (618) 475-9202
- Fax
- (618) 475-9214
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-006753 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005905 | MO | |
| Clinical Social Worker | 1041C0700X | IL | Yes |
Addresses
Primary practice location
513 Church St
New Athens, IL 62264-1584
Mailing address
513 Church St
New Athens, IL 62264-1584
Phone (618) 475-9202
Other providers in New Athens, IL
- Nicole Edwin
- Groceries of Southern Illinois LLC
- Robin Marion Gunter
- Lindsey Lehr
- Lynn Eichelberger Fiedler
- Kent D. McConnell
- New Athens Cu School Dist 60
- New Athens Home for the Aged Inc
All providers in New Athens, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.