MEDICARE: JOYCE ELIZABETH JOURNE LSW

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	104100000X	Social Worker	44SL05470300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558027854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE ELIZABETH JOURNE LSW

Provider Business Mailing Address
First Line	:	2083 KLOCKNER RD
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 NEWPORT CT
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-2039
Country	:	US
Telephone Number	:	732-746-3777
Fax Number	:

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

Provider Enumeration Date	:	11/10/2021
Last Update Date	:	11/10/2021

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