Provider Demographics
NPI:1598812638
Name:KLIBER, JOY AGNES (LICSW, MSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:AGNES
Last Name:KLIBER
Suffix:
Gender:F
Credentials:LICSW, MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1652 GREENVIEW SWDR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-4219
Mailing Address - Country:US
Mailing Address - Phone:507-288-6978
Mailing Address - Fax:
Practice Address - Street 1:1652 GREENVIEW DR SW
Practice Address - Street 2:STE 290
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-1082
Practice Address - Country:US
Practice Address - Phone:507-288-6978
Practice Address - Fax:507-288-2058
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN23991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN90763OtherMAYO CLINIC
MN218M2BROtherBCBS MN
MN62-14877OtherUNITED BEHAVIORAL HEALTH
MN919057100Medicaid
MN92837OtherHEALTH PARTNERS
MN218M2BROtherBCBS MN
MN92837OtherHEALTH PARTNERS