Provider Demographics
NPI:1902041528
Name:MAUER, JOYCE L (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:L
Last Name:MAUER
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 1:15 GLENRIDGE AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4748
Mailing Address - Country:US
Mailing Address - Phone:973-783-1224
Mailing Address - Fax:
Practice Address - Street 1:40 S FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3357
Practice Address - Country:US
Practice Address - Phone:973-783-8656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001715001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical