Provider Demographics
NPI:1164860730
Name:JOHNSON, JOY ELIZABETH (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ELIZABETH
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:MISS
Other - First Name:JOY
Other - Middle Name:ELIZABETH
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:747 DILL AVE SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-4361
Mailing Address - Country:US
Mailing Address - Phone:678-562-1520
Mailing Address - Fax:
Practice Address - Street 1:747 DILL AVE SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-4361
Practice Address - Country:US
Practice Address - Phone:678-562-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0058061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical