Provider Demographics
NPI:1063553204
Name:WASHINGTON, JOANNE M (LCSW)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:WASHINGTON
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 1:367 WINDSOR HWY # 215
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7900
Mailing Address - Country:US
Mailing Address - Phone:914-906-8919
Mailing Address - Fax:
Practice Address - Street 1:103 EXECUTIVE DR STE 503
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-5508
Practice Address - Country:US
Practice Address - Phone:914-906-8919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY709231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical