MEDICARE: MS. JOY DBA CALLIE JUSTICE M.S.W., L.C.S.W.

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	C001441	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60315	OTHER	NC	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316064108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOY DBA CALLIE JUSTICE M.S.W., L.C.S.W.

Provider Business Mailing Address
First Line	:	2027 PERSHING ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-3219
Country	:	US
Telephone Number	:	919-475-7786
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 PERSHING ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-3219
Country	:	US
Telephone Number	:	919-475-7786
Fax Number	:

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	11/06/2025

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