Provider Demographics
NPI:1669498762
Name:ULECK, JOYCE LOUISE (LCSW)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:LOUISE
Last Name:ULECK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:STE 315
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770
Mailing Address - Country:US
Mailing Address - Phone:301-441-1026
Mailing Address - Fax:301-441-4631
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:STE 315
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-441-1026
Practice Address - Fax:301-441-4631
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05867103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UL582840Medicare UPIN
MDG01450J02Medicare ID - Type Unspecified