Provider Demographics
NPI:1154616886
Name:DEMOS, JOY (MSW)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:DEMOS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 MAIN ST
Mailing Address - Street 2:APT. 207
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2477
Mailing Address - Country:US
Mailing Address - Phone:718-962-4044
Mailing Address - Fax:
Practice Address - Street 1:6221 GEARY BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1887
Practice Address - Country:US
Practice Address - Phone:415-386-6600
Practice Address - Fax:415-751-3226
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical