Provider Demographics
NPI:1790048395
Name:IFILL, JOY ANNA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANNA
Last Name:IFILL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 E FLAMINGO RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5257
Mailing Address - Country:US
Mailing Address - Phone:702-434-1564
Mailing Address - Fax:702-434-6704
Practice Address - Street 1:1641 E FLAMINGO RD
Practice Address - Street 2:SUITE 7
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5257
Practice Address - Country:US
Practice Address - Phone:702-434-1564
Practice Address - Fax:702-434-6704
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4065-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical