Provider Demographics
NPI:1023358595
Name:MOYA, JOYCE CATHERINE CORBIN (LCSW)
Entity Type:Individual
Prefix:
First Name:JOYCE CATHERINE
Middle Name:CORBIN
Last Name:MOYA
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 1:13006 DUBIN DR STE 600V
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-8012
Mailing Address - Country:US
Mailing Address - Phone:856-912-0314
Mailing Address - Fax:571-343-4853
Practice Address - Street 1:19003 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408
Practice Address - Country:US
Practice Address - Phone:540-684-8962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
09040096331041C0700X
VA09040096331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA581935Medicaid