Provider Demographics
NPI:1124588801
Name:JOSEPH, DORIAN THERESA (LCSW)
Entity type:Individual
Prefix:
First Name:DORIAN
Middle Name:THERESA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2781 FOLIAGE DR
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-5864
Mailing Address - Country:US
Mailing Address - Phone:504-756-4103
Mailing Address - Fax:
Practice Address - Street 1:2781 FOLIAGE DR
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-5864
Practice Address - Country:US
Practice Address - Phone:504-756-4103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical