Provider Demographics
NPI:1578393252
Name:BISHOP, JOSEPH CLINTON (LMSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CLINTON
Last Name:BISHOP
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 N VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35961-3300
Mailing Address - Country:US
Mailing Address - Phone:256-641-0413
Mailing Address - Fax:
Practice Address - Street 1:701B GAULT AVE N
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-2627
Practice Address - Country:US
Practice Address - Phone:256-979-1620
Practice Address - Fax:205-263-6462
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6702G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical