Provider Demographics
NPI:1528301447
Name:RIZZOLO, JOSEPH STEVEN (LCSW-A)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:STEVEN
Last Name:RIZZOLO
Suffix:
Gender:M
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 STAGVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BAHAMA
Mailing Address - State:NC
Mailing Address - Zip Code:27503-8669
Mailing Address - Country:US
Mailing Address - Phone:919-621-9012
Mailing Address - Fax:919-401-4040
Practice Address - Street 1:2609 NORTH DUKE STREET
Practice Address - Street 2:SUITE 504
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-401-1151
Practice Address - Fax:919-490-7633
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP007561101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health