Organization Active NPI

James K Joseph LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1912421702
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
CW016126 Issued in PA
Legal business name
JAMES K JOSEPH LCSW, LLC
Practice address
135 S 19TH St Ste 250
Philadelphia, PA 19103-4906
Phone
(267) 244-5973
Fax
(855) 806-5775
NPI assigned
Aug 2, 2017
Last updated
Aug 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Dr. James Kadankavil Joseph, LCSW, DSW, M.S.ED.NPI 1518106046
Title
Owner/Proprietor
Phone
(267) 244-9537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CW016126 PA Primary

Addresses

Primary practice location

135 S 19TH St Ste 250
Philadelphia, PA 19103-4906

Mailing address

3929 Netherfield Rd
Philadelphia, PA 19129-1013
Phone (267) 244-9537

National Provider Directory

National Provider Directory

Locations

135 S 19th St
Ste 250
Philadelphia, PA 19103
Phone (215) 779-0271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1912421702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 NETHERFIELD RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291013",
            "telephone_number": "267-244-9537",
            "fax_number": "855-806-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S 19TH ST STE 250",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034906",
            "telephone_number": "267-244-5973",
            "fax_number": "855-806-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K JOSEPH LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KADANKAVIL",
        "authorized_official_title_or_position": "OWNER/PROPRIETOR",
        "authorized_official_telephone_number": "267-244-9537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, DSW, M.S.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "CW016126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.