Provider Demographics
NPI:1326720046
Name:MCCLELLAN, JOY (DSW, LCSW-QS)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:MCCLELLAN
Suffix:
Gender:F
Credentials:DSW, LCSW-QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WOOD LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3965
Mailing Address - Country:US
Mailing Address - Phone:561-634-0313
Mailing Address - Fax:
Practice Address - Street 1:100 WOOD LN
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3965
Practice Address - Country:US
Practice Address - Phone:561-634-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical