Provider Demographics
NPI:1912271099
Name:JOINES, MARY MARGARET (LCSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:JOINES
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 1:71 MINT LN
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NC
Mailing Address - Zip Code:28675-8469
Mailing Address - Country:US
Mailing Address - Phone:336-572-7700
Mailing Address - Fax:
Practice Address - Street 1:BLUE RIDGE BUSINESS DEVELOPMENT CENTER
Practice Address - Street 2:115 ATWOOD STREET, OFFICE #415
Practice Address - City:SPARTA
Practice Address - State:NC
Practice Address - Zip Code:28675
Practice Address - Country:US
Practice Address - Phone:336-572-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0022651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC002265OtherNC SOCIAL WORK CERTIFICATION & LICENSURE BOARD