Provider Demographics
NPI:1477168946
Name:ELKHARRAT, JOYCE NORMA (LSW)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:NORMA
Last Name:ELKHARRAT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1266
Mailing Address - Country:US
Mailing Address - Phone:908-489-9483
Mailing Address - Fax:
Practice Address - Street 1:70 GIRARD AVE
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1266
Practice Address - Country:US
Practice Address - Phone:908-489-9483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06572500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker