Provider Demographics
NPI:1932926987
Name:HARVEY, JOANNA LYNN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:LYNN
Last Name:HARVEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S KRAEMER BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6109
Mailing Address - Country:US
Mailing Address - Phone:877-538-4133
Mailing Address - Fax:562-921-5703
Practice Address - Street 1:101 S KRAEMER BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6109
Practice Address - Country:US
Practice Address - Phone:714-269-0123
Practice Address - Fax:562-921-5703
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1260281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical