Provider Demographics
NPI:1124629852
Name:STOCK, JOYCE RENEE (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:RENEE
Last Name:STOCK
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 WASHINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:WELLSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26070-2042
Mailing Address - Country:US
Mailing Address - Phone:304-914-9325
Mailing Address - Fax:
Practice Address - Street 1:31 E CAMPUS DR
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:WV
Practice Address - Zip Code:26032-3002
Practice Address - Country:US
Practice Address - Phone:304-829-7572
Practice Address - Fax:304-829-7471
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009431881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical