Healthcare Provider Details

I. General information

NPI: 1376165035
Provider Name (Legal Business Name): SUSAN JOYNER LCSW-C, LCSW
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 WILLIAMS RD
PIEDMONT SC
29673-7914
US

IV. Provider business mailing address

PO BOX 132
PIEDMONT SC
29673-0132
US

V. Phone/Fax

Practice location:
  • Phone: 864-561-7039
  • Fax:
Mailing address:
  • Phone: 864-561-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1140380
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21993
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17807
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111259
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: