Provider Demographics
NPI:1790955458
Name:JAMES, JOYCE VIRGINIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:VIRGINIA
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:VIRGINIA
Other - Last Name:WOFFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5700 BALTIMORE DR UNIT 32
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-1610
Mailing Address - Country:US
Mailing Address - Phone:203-586-6149
Mailing Address - Fax:203-692-4144
Practice Address - Street 1:4700 SPRING ST STE 306
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-2294
Practice Address - Country:US
Practice Address - Phone:203-586-6149
Practice Address - Fax:203-692-4144
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54711041C0700X
CT0071751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
12012790OtherCAQH ID
CT008044086Medicaid
12012790OtherCAQH ID
D400011972Medicare UPIN