Provider Demographics
NPI:1558569715
Name:STEADMAN, JOYCE (MSW)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 TOWN HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORT
Mailing Address - State:CT
Mailing Address - Zip Code:06057
Mailing Address - Country:US
Mailing Address - Phone:860-379-6729
Mailing Address - Fax:860-379-6729
Practice Address - Street 1:754 TOWN HILL RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORT
Practice Address - State:CT
Practice Address - Zip Code:06057
Practice Address - Country:US
Practice Address - Phone:860-379-6729
Practice Address - Fax:860-379-6729
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000306101YA0400X
CT0027581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140002758CT03OtherBCBS
CT11645694OtherUNITED BEHAVIORAL HEALTH