| Doctor Name: | JOANNE FADOOL |
| NPI Number: | 1558787564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 44SC0557600 |
| Business Practice Address: | 215 Highland Ave Haddon Township, NJ - 081082634 |
| Business Phone Number: | 8568543155 |
| Business Fax Number: | |
| Mailing Address: | 3 Cranbury Hill Court, MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 08054 |
| Phone Number: | 6098280097 |
| Fax Number: | 8568020885 |
| NPI Enumeration Date: | 03/14/2014 |
| NPI Last Update Date: | 03/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC0557600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |