Provider Demographics
NPI:1932250032
Name:HERLING, JOYCE LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:LYNN
Last Name:HERLING
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 1:1704 EAGLES RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-1145
Mailing Address - Country:US
Mailing Address - Phone:845-278-0233
Mailing Address - Fax:
Practice Address - Street 1:1281 ROUTE 311
Practice Address - Street 2:B-202
Practice Address - City:PATTERSON
Practice Address - State:NY
Practice Address - Zip Code:12563-2828
Practice Address - Country:US
Practice Address - Phone:845-878-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043878-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP885590OtherOXFORD BEHAVIORAL HEALTH
NY164452OtherMHN
NY617002OtherMVP
NY2507735OtherGHIBMP
NY5495705OtherAETNA
NY111003OtherVALUE OPTIONS
NY01645734Medicaid
NY104965OtherUNITED BEHAVIORAL HEALTH
NY108702000OtherMAGELLAN BEHAVIORAL HEALT
NY459495Other1199 NATIONAL BENEFITS FU
NY01645734Medicaid