Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edwin Dej Perry Joseph III, PHD

Individual provider Clinical Social Worker · NPI 1457345266

Dr. Edwin Dej Perry Joseph III, PHD is a Clinical Social Worker in Mystic, Connecticut. Practices as a sole proprietor. Licensed in Alaska, Connecticut and Rhode Island.

Licensed in
AK, CT, RI
In the registry since
2005
Specialties on file
5
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

44 Washington St
Mystic, CT 06355-2839
Phone: (860) 415-6837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X
Clinical Social Worker Taxonomy 1041C0700X · Licence 004144 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW01491 (RI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3714 (AK)
Professional Counselor Taxonomy 101YP2500X · Licence 46.002377 (CT)

Record details

NPI number1457345266
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 7, 2005
Last updated in NPPESMarch 18, 2014

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