Provider Demographics
NPI:1427697465
Name:BROOKS, JOYCE ELIZABETH (MSW)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:ELIZABETH
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:ELIZABETH
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:7829 12TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1322
Mailing Address - Country:US
Mailing Address - Phone:202-557-1094
Mailing Address - Fax:202-291-7597
Practice Address - Street 1:7829 12TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1322
Practice Address - Country:US
Practice Address - Phone:202-557-1094
Practice Address - Fax:202-291-7597
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-21
Last Update Date:2019-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3004791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical