Provider Demographics
NPI:1063713535
Name:WATKINS, JOY N (MSW,BA,LMSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:N
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MSW,BA,LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 STEVEN ST APT B
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-2616
Mailing Address - Country:US
Mailing Address - Phone:860-834-7074
Mailing Address - Fax:
Practice Address - Street 1:28 STEVEN ST APT B
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-2616
Practice Address - Country:US
Practice Address - Phone:860-834-7074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000282104100000X
IL149.0275421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherUBH-UNITED HEALTH CARE WELLMORE GRP/FACILITY
CTD339209OtherVALUE OPTIONS/BEACON HEALTH STRATEGIES
CTNOT ELIGIBLEOtherMHN TRICARE NORTH
CTPENDINGMedicaid
CT060669107OtherUBH-LIBERTY/FREEDOM OXFORD HEALTH PLAN WELLMORE GRP/FACILITY
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT060669107OtherUNITED BEHAVIORAL HEALTH- WELLMORE GRP/FACILITY
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH
CT060669107OtherUBH-CONNECTICARE WELLMORE GRP/FACILITY
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CT060669107OtherAETNA BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
CT13671810OtherCAQH
CTNOT ELIGIBLEOtherMHN-MANAGED HEALTH NETWORK
CT060669107OtherUBH-LIBERTY/FREEDOM OXFORD HEALTH PLAN WELLMORE GRP/FACILITY