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NPI Code Detail

MEDICARE: JOY LOUISE DIVELBISS LSW

MEDICARE: JOY LOUISE DIVELBISS 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
11041C0700XClinical Social WorkerS.2512771OH

General Provider Information

NPI Number : 1912863986
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY LOUISE DIVELBISS LSW
Provider Business Mailing Address
First Line : 1066 LEXINGTON AVE
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-2250
Country : US
Telephone Number : 419-709-8447
Fax Number :
Provider Business Practice Location Address
First Line : 1066 LEXINGTON AVE
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-2250
Country : US
Telephone Number : 419-709-8447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2026
Last Update Date : 01/02/2026

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Directions to “ JOY LOUISE DIVELBISS LSW” Practice Location

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