Provider Demographics
NPI:1831466556
Name:MURPHY, JOAN CAROL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:CAROL
Last Name:MURPHY
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 1:69 W POWERS AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8739
Mailing Address - Country:US
Mailing Address - Phone:559-323-4636
Mailing Address - Fax:559-323-4636
Practice Address - Street 1:69 W POWERS AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-8739
Practice Address - Country:US
Practice Address - Phone:559-323-4636
Practice Address - Fax:559-323-4636
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 140551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical