=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285583823
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOY FLOW PSYCHOTHERAPY LCSW PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2026
-----------------------------------------------------
Last Update Date | 01/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 911 ASCAN ST
-----------------------------------------------------
City | VALLEY STREAM
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11580-1520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 929-777-5109
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 911 ASCAN ST
-----------------------------------------------------
City | VALLEY STREAM
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11580-1520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 929-777-5109
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSE CLINICAL SOCIAL WORKER
-----------------------------------------------------
Name | WING SHUEN TOM
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 929-777-5109
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------