Provider Demographics
NPI:1649454596
Name:MAGNUSSEN, JOY MARIE (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:MARIE
Last Name:MAGNUSSEN
Suffix:
Gender:F
Credentials:LCSW-R
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES
Mailing Address - Street 2:5 COURT STREET, SUITE 42
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815
Mailing Address - Country:US
Mailing Address - Phone:607-337-1600
Mailing Address - Fax:607-334-4519
Practice Address - Street 1:CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES
Practice Address - Street 2:5 COURT STREET, SUITE 42
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815
Practice Address - Country:US
Practice Address - Phone:607-337-1600
Practice Address - Fax:607-334-4519
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076327-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03181853Medicaid