Provider Demographics
NPI:1104889476
Name:JOYCE, GAYLE L (LICSW)
Entity type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:L
Last Name:JOYCE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 TATE GREGORY CT
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32163-5540
Mailing Address - Country:US
Mailing Address - Phone:603-781-2003
Mailing Address - Fax:
Practice Address - Street 1:4851 TATE GREGORY CT
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32163-5540
Practice Address - Country:US
Practice Address - Phone:603-781-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC87391041C0700X
NH17061041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3086943Medicaid
ME420650099Medicaid
NH3086943Medicaid
MEME1935Medicare PIN