Provider Demographics
NPI:1710309380
Name:CLEARY, JOY OSTENSEN (LCSW, PPSC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:OSTENSEN
Last Name:CLEARY
Suffix:
Gender:F
Credentials:LCSW, PPSC
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:OSTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2 CORPORATE PLAZA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7952
Mailing Address - Country:US
Mailing Address - Phone:949-706-2777
Mailing Address - Fax:
Practice Address - Street 1:2 CORPORATE PLAZA DR STE 150
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7952
Practice Address - Country:US
Practice Address - Phone:949-706-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS275481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical