Provider Demographics
NPI:1497634141
Name:LUCIEN, JOAN MICHELLE (MPHIL, MS)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:MICHELLE
Last Name:LUCIEN
Suffix:
Gender:X
Credentials:MPHIL, MS
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:MICHELLE
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3930 3RD AVE APT 804
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-8143
Mailing Address - Country:US
Mailing Address - Phone:917-280-1508
Mailing Address - Fax:
Practice Address - Street 1:3930 3RD AVE APT 804
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-8143
Practice Address - Country:US
Practice Address - Phone:917-280-1508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical