Provider Demographics
NPI:1699046805
Name:FONASH, JOSEPH (LCSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:FONASH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 TWINING RD
Mailing Address - Street 2:STE 118
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1832
Mailing Address - Country:US
Mailing Address - Phone:215-675-8300
Mailing Address - Fax:215-675-8301
Practice Address - Street 1:715 TWINING RD
Practice Address - Street 2:STE 118
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1832
Practice Address - Country:US
Practice Address - Phone:215-675-8300
Practice Address - Fax:215-675-8301
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0168091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical