Provider Demographics
NPI:1477620094
Name:MARSH, JOYCE ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ANN
Last Name:MARSH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:MARSH
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:9345 KINGTOWN BEACH RD
Mailing Address - Street 2:
Mailing Address - City:TRUMANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14886
Mailing Address - Country:US
Mailing Address - Phone:607-277-6558
Mailing Address - Fax:
Practice Address - Street 1:9345 KINGTOWN BEACH RD
Practice Address - Street 2:
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886
Practice Address - Country:US
Practice Address - Phone:607-277-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02858211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004254747OtherAETNA
7403941OtherGHI
000914006001OtherHEALTH NOW
05457000OtherMAGELLAN
108491OtherGUARDIAN MHN
222923095OtherBCBS
145432OtherVALUE OPTIONS