Healthcare Provider Details

I. General information

NPI: 1770569477
Provider Name (Legal Business Name): JOY A. RECKLEY-MURPHY LCSW-C, DHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 02/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 VIRGINIA AVE
CUMBERLAND MD
21502-4559
US

IV. Provider business mailing address

14710 UHL HWY SE
CUMBERLAND MD
21502-8447
US

V. Phone/Fax

Practice location:
  • Phone: 667-600-2132
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12845
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: