Provider Demographics
NPI:1487246955
Name:SEPP, JOANNA (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:
Last Name:SEPP
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 1:46 WINTERCRESS LN
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4711
Mailing Address - Country:US
Mailing Address - Phone:631-372-3972
Mailing Address - Fax:
Practice Address - Street 1:811 W JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3232
Practice Address - Country:US
Practice Address - Phone:631-372-3972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical