MEDICARE: MS. BRENDA JOYCE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC01371900	NJ

General Provider Information

NPI Number	:	1659813426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRENDA JOYCE LCSW

Provider Business Mailing Address
First Line	:	145 WITHERSPOON STREET
Second Line	:	A7
City	:	PRINCETON
State	:	NJ
Zip	:	08540
Country	:	US
Telephone Number	:	609-896-2005
Fax Number	:	609-896-2005

Provider Business Practice Location Address
First Line	:	145 WITHERSPOON STREET
Second Line	:	A7
City	:	PRINCETON
State	:	NJ
Zip	:	08540
Country	:	US
Telephone Number	:	609-896-2005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2016
Last Update Date	:	03/22/2026

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