Provider Demographics
NPI:1316356991
Name:LAMPTON, JOY BETH (LCSW,LMSW)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:BETH
Last Name:LAMPTON
Suffix:
Gender:F
Credentials:LCSW,LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S RACE ST
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46544-2032
Mailing Address - Country:US
Mailing Address - Phone:574-209-2800
Mailing Address - Fax:888-412-1641
Practice Address - Street 1:210 S RACE ST
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46544
Practice Address - Country:US
Practice Address - Phone:574-209-2800
Practice Address - Fax:888-412-1641
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MI68011061691041C0700X
IN34008612A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI13898362Medicaid