Provider Demographics
NPI:1437489101
Name:COLLINS, JOYCE ELIZABETH (LICSW,CAS)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ELIZABETH
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LICSW,CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 HIGH ST
Mailing Address - Street 2:TOBEY HOSPITAL
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2097
Mailing Address - Country:US
Mailing Address - Phone:508-295-0880
Mailing Address - Fax:
Practice Address - Street 1:43 HIGH ST
Practice Address - Street 2:TOBEY HOSPITAL
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-2097
Practice Address - Country:US
Practice Address - Phone:508-295-0880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-01
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10272281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical