Provider Demographics
NPI:1912429945
Name:BEINLICH, JOSEPH THOMAS
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:THOMAS
Last Name:BEINLICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-2116
Mailing Address - Country:US
Mailing Address - Phone:484-832-2947
Mailing Address - Fax:
Practice Address - Street 1:1727 PIERCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2116
Practice Address - Country:US
Practice Address - Phone:484-832-2947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2025-09-07
Deactivation Date:2021-09-01
Deactivation Code:
Reactivation Date:2021-09-14
Provider Licenses
StateLicense IDTaxonomies
PACW0248711041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical