Provider Demographics
NPI:1609836790
Name:WESTPHAL, JOYCE ELAINE (LISW)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ELAINE
Last Name:WESTPHAL
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WINTERSET
Mailing Address - State:IA
Mailing Address - Zip Code:50273-1330
Mailing Address - Country:US
Mailing Address - Phone:712-899-7292
Mailing Address - Fax:
Practice Address - Street 1:502 N 10TH ST
Practice Address - Street 2:
Practice Address - City:WINTERSET
Practice Address - State:IA
Practice Address - Zip Code:50273-1330
Practice Address - Country:US
Practice Address - Phone:712-899-7292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00856101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI14458Medicare ID - Type Unspecified