Provider Demographics
NPI:1144946906
Name:JOSEPH, JUSTIN (LMSW)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 E ROSEMEADE PKWY # 5015
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2637
Mailing Address - Country:US
Mailing Address - Phone:214-444-3196
Mailing Address - Fax:
Practice Address - Street 1:5305 LAUREL BRANCH DR.
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209
Practice Address - Country:US
Practice Address - Phone:972-514-2992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical