Joyce Ganapol, LICSW

Individual provider Active NPI Clinical Social Worker · Vineyard Haven, MA

NPI 1043449283 · NPPES record last updated Jul 9, 2009

Key facts

NPI
1043449283
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
113498 (MA)
Practice address
111 Edgartown Vineyard Haven Rd
Martha'S Vineyard Community Services
Vineyard Haven, MA 02568-4036
Phone
(508) 693-7900
Fax
(508) 696-0401
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
113498MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Family and Community Services Inc Past Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113498 MA Yes

Addresses

Primary practice location

111 Edgartown Vineyard Haven Rd
Martha'S Vineyard Community Services
Vineyard Haven, MA 02568-4036

Mailing address

111 Edgartown Vineyard Haven Rd
Martha'S Vineyard Community Services
Vineyard Haven, MA 02568-4036
Phone (508) 693-7900

Other providers in Vineyard Haven, MA

All providers in Vineyard Haven, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.