Provider Demographics
NPI:1487376836
Name:DORSEY, JOSEPH CHRISTOPHER (LCSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHRISTOPHER
Last Name:DORSEY
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 1:1240 CLAIRMONT RD STE 204
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1254
Mailing Address - Country:US
Mailing Address - Phone:404-309-5789
Mailing Address - Fax:
Practice Address - Street 1:1240 CLAIRMONT RD STE 204
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1254
Practice Address - Country:US
Practice Address - Phone:404-309-5789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW008480101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty