Provider Demographics
NPI:1508923699
Name:GREENFIELD, JOAN E (MA LPC LLP LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:E
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:MA LPC LLP LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31700 W 13 MILE RD STE 219
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2171
Mailing Address - Country:US
Mailing Address - Phone:248-855-5959
Mailing Address - Fax:248-855-5959
Practice Address - Street 1:31700 W 13 MILE RD STE 219
Practice Address - Street 2:SUITE 102
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2171
Practice Address - Country:US
Practice Address - Phone:248-855-5959
Practice Address - Fax:248-855-5959
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009826101YM0800X, 101YP2500X
MI6301003756103T00000X
MI68010116571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4227463OtherAETNA
MI246779000OtherMAGELLAN
MIMI4976Medicare PIN