Provider Demographics
NPI:1548326143
Name:O'ROURKE, JOSETTE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:JOSETTE
Middle Name:
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JOSETTE
Other - Middle Name:
Other - Last Name:DEMICHAEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 POWERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-8705
Mailing Address - Country:US
Mailing Address - Phone:973-299-5456
Mailing Address - Fax:973-316-1839
Practice Address - Street 1:100 ROUTE 46 WEST
Practice Address - Street 2:VILLAGE GREEN
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828
Practice Address - Country:US
Practice Address - Phone:973-347-4300
Practice Address - Fax:973-347-0984
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047679001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical