Provider Demographics
NPI:1497053573
Name:WEIPPERT, JOY ANNIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ANNIE
Last Name:WEIPPERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S BLUFF ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3592
Mailing Address - Country:US
Mailing Address - Phone:435-773-5023
Mailing Address - Fax:
Practice Address - Street 1:437 S BLUFF ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3592
Practice Address - Country:US
Practice Address - Phone:435-773-5023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT33397935011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical