Provider Demographics
NPI:1417429689
Name:JOSEY, JOANN (LMSW)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:JOSEY
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 1:8930 161ST ST FL 4
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6105
Mailing Address - Country:US
Mailing Address - Phone:347-420-8553
Mailing Address - Fax:
Practice Address - Street 1:1275 E 51ST ST APT 3B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2222
Practice Address - Country:US
Practice Address - Phone:347-420-8553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050560104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker