Provider Demographics
NPI:1215269717
Name:JAMES, JOYCE (LCSW - R; BCD)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW - R; BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751208
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-8808
Mailing Address - Country:US
Mailing Address - Phone:718-847-0976
Mailing Address - Fax:718-847-0976
Practice Address - Street 1:21910 S CONDUIT AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-3462
Practice Address - Country:US
Practice Address - Phone:718-847-0976
Practice Address - Fax:718-847-0976
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02496911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical