Provider Demographics
NPI:1215142252
Name:HIGASHI, JOYCE A (MSW, LICSW, DCSW)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:A
Last Name:HIGASHI
Suffix:
Gender:F
Credentials:MSW, LICSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 N ADAMS ST
Mailing Address - Street 2:#306
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3749
Mailing Address - Country:US
Mailing Address - Phone:202-812-1479
Mailing Address - Fax:
Practice Address - Street 1:1500 MASSACHUSETTS AVE NW
Practice Address - Street 2:#39
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-1821
Practice Address - Country:US
Practice Address - Phone:202-812-1479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040022161041C0700X
DCLC3020721041C0700X
MD076291041C0700X
UT109152-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical