Provider Demographics
NPI:1982937199
Name:JOSEPH, ELIEZER (MSW)
Entity type:Individual
Prefix:
First Name:ELIEZER
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13560 76TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49090-9483
Mailing Address - Country:US
Mailing Address - Phone:269-921-3437
Mailing Address - Fax:888-412-1492
Practice Address - Street 1:13560 76TH ST STE 3
Practice Address - Street 2:
Practice Address - City:SOUTH HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49090-9483
Practice Address - Country:US
Practice Address - Phone:269-921-3437
Practice Address - Fax:888-412-1492
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical