Provider Demographics
NPI:1881706059
Name:SAPORITO, JOANNA MARY
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:MARY
Last Name:SAPORITO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JOANNA
Other - Middle Name:MARY
Other - Last Name:HOVLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, BCD
Mailing Address - Street 1:1139 N BRAND BLVD
Mailing Address - Street 2:STE. A
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3000
Mailing Address - Country:US
Mailing Address - Phone:818-230-1081
Mailing Address - Fax:
Practice Address - Street 1:1139 N BRAND BLVD
Practice Address - Street 2:STE. A
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3000
Practice Address - Country:US
Practice Address - Phone:818-230-1081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS188531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical