Provider Demographics
NPI:1376165035
Name:JOYNER, SUSAN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:JOYNER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9397 5TH ST N
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1807
Mailing Address - Country:US
Mailing Address - Phone:864-561-7039
Mailing Address - Fax:
Practice Address - Street 1:10400 CONNECTICUT AVE STE 500
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3944
Practice Address - Country:US
Practice Address - Phone:202-360-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD219931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical