Healthcare Provider Details

I. General information

NPI: 1033035563
Provider Name (Legal Business Name): COURTNEY D JOYNER LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 DOWNES ST
HAMPTON VA
23663-1813
US

IV. Provider business mailing address

210 DOWNES ST
HAMPTON VA
23663-1813
US

V. Phone/Fax

Practice location:
  • Phone: 443-310-5573
  • Fax:
Mailing address:
  • Phone: 443-310-5573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0903004946
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: