Provider Demographics
NPI:1043916299
Name:WAWIYE, JOYCE ROSE (BS, MS, EDD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:ROSE
Last Name:WAWIYE
Suffix:
Gender:F
Credentials:BS, MS, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 SAPPHIRE LN
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-2513
Mailing Address - Country:US
Mailing Address - Phone:304-237-4972
Mailing Address - Fax:
Practice Address - Street 1:602 SAPPHIRE LN
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2513
Practice Address - Country:US
Practice Address - Phone:304-237-4972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPL082115998104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker