Provider Demographics
NPI:1356470140
Name:SHEPHERD, JOYCE ROSE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ROSE
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WESTERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ARKADELPHIA
Mailing Address - State:AR
Mailing Address - Zip Code:71923-9136
Mailing Address - Country:US
Mailing Address - Phone:870-246-9462
Mailing Address - Fax:870-245-3093
Practice Address - Street 1:1420 PINE ST
Practice Address - Street 2:
Practice Address - City:ARKADELPHIA
Practice Address - State:AR
Practice Address - Zip Code:71923-4731
Practice Address - Country:US
Practice Address - Phone:870-230-8364
Practice Address - Fax:870-230-8381
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker