Provider Demographics
NPI:1639188097
Name:MARTIN, JOY PATRICIA (PHD, LGSW)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:PATRICIA
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PHD, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5344 RACEGATE RUN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2247
Mailing Address - Country:US
Mailing Address - Phone:410-730-4854
Mailing Address - Fax:
Practice Address - Street 1:5344 RACEGATE RUN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:443-745-0767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG105241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical