Provider Demographics
NPI:1285647974
Name:JOYCE, JOHN J III (MSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:JOYCE
Suffix:III
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 SOUTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-3452
Mailing Address - Country:US
Mailing Address - Phone:860-521-3929
Mailing Address - Fax:860-561-2815
Practice Address - Street 1:91 SOUTH MAIN ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-3452
Practice Address - Country:US
Practice Address - Phone:860-539-4599
Practice Address - Fax:860-561-2815
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0019011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical