Provider Demographics
NPI:1336159359
Name:CLANCY, JOANNE ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:ELIZABETH
Last Name:CLANCY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8215 MIDDLEBURY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3634
Mailing Address - Country:US
Mailing Address - Phone:281-894-5607
Mailing Address - Fax:281-894-5607
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:MENTAL HEALTH CARE LINE (116)
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-794-7929
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical