Provider Demographics
NPI:1447635727
Name:ERICSON, JOYCE (MSW, LICSW, LCSW-C)
Entity type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:
Last Name:ERICSON
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5534 KAREN ELAINE DR APT 1746
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4147
Mailing Address - Country:US
Mailing Address - Phone:908-485-0187
Mailing Address - Fax:
Practice Address - Street 1:528 THAYER AVE APT 201
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5336
Practice Address - Country:US
Practice Address - Phone:908-485-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055947001041C0700X
DCLC500818931041C0700X, 1041S0200X
MD257321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty