Provider Demographics
NPI:1881328144
Name:DENNIS, JOSEPH NATHANIEL (LCSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:NATHANIEL
Last Name:DENNIS
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 1:7411 OWL CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-7844
Mailing Address - Country:US
Mailing Address - Phone:859-655-5103
Mailing Address - Fax:
Practice Address - Street 1:520 GREENUP ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2551
Practice Address - Country:US
Practice Address - Phone:859-349-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY256847104100000X
KY2593861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker