Provider Demographics
NPI:1144954132
Name:PERRY, JOSEPH NORRIS II (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:NORRIS
Last Name:PERRY
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 CENTURY DR APT 5412
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7519
Mailing Address - Country:US
Mailing Address - Phone:910-305-3330
Mailing Address - Fax:
Practice Address - Street 1:3011 CREEK VIEW CT
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-3639
Practice Address - Country:US
Practice Address - Phone:910-305-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW010530104100000X
VA09040143141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker