Provider Demographics
NPI:1730073248
Name:OPROMOLLO, JOSEPH EDWIN (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:EDWIN
Last Name:OPROMOLLO
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 1:35 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-2518
Mailing Address - Country:US
Mailing Address - Phone:201-602-9318
Mailing Address - Fax:
Practice Address - Street 1:35 SCOTT AVE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-2518
Practice Address - Country:US
Practice Address - Phone:201-602-9318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT129741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical