Provider Demographics
NPI:1316356991
Name:LAMPTON, JOY BETH (LCSW,LMSW)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:BETH
Last Name:LAMPTON
Suffix:
Gender:
Credentials:LCSW,LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 E WATERFORD ST
Mailing Address - Street 2:
Mailing Address - City:WAKARUSA
Mailing Address - State:IN
Mailing Address - Zip Code:46573-9533
Mailing Address - Country:US
Mailing Address - Phone:574-209-2800
Mailing Address - Fax:888-412-1641
Practice Address - Street 1:313 E WATERFORD ST
Practice Address - Street 2:
Practice Address - City:WAKARUSA
Practice Address - State:IN
Practice Address - Zip Code:46573-9533
Practice Address - Country:US
Practice Address - Phone:574-209-2800
Practice Address - Fax:888-412-1641
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC232941041C0700X
MI68011061691041C0700X
IN34008612A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI13898362Medicaid