Provider Demographics
NPI:1649431008
Name:MULFORD, JOYCE LENORE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:LENORE
Last Name:MULFORD
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 1:6325 N SHERIDAN RD
Mailing Address - Street 2:APT 804
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-5708
Mailing Address - Country:US
Mailing Address - Phone:773-793-5559
Mailing Address - Fax:
Practice Address - Street 1:6325 N SHERIDAN RD
Practice Address - Street 2:NUMBER 2008
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-1749
Practice Address - Country:US
Practice Address - Phone:773-606-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0063621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical