Provider Demographics
NPI:1770649394
Name:ALLEN, JOY S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:S
Last Name:ALLEN
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 1:5832 LINCOLN DR # 321
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55436-1616
Mailing Address - Country:US
Mailing Address - Phone:817-732-4200
Mailing Address - Fax:
Practice Address - Street 1:5832 LINCOLN DR # 321
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55436-1616
Practice Address - Country:US
Practice Address - Phone:817-732-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN299161041C0700X
CO9911561041C0700X
TX515541041C0700X
MO20010116071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical