Individual provider Active NPI

Jacqueline A. Joy, LMSW

  • Social Worker
  • Jamestown, NY
National Provider Identifier
1043529399
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00081270 Issued in NY
Practice address
560 W 3Rd St Ste 17
Jamestown, NY 14701-4776
Phone
(716) 484-9188
Fax
(716) 484-0766
NPI assigned
Oct 5, 2010
Last updated
Oct 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00081270 NY Primary

Addresses

Primary practice location

560 W 3Rd St Ste 17
Jamestown, NY 14701-4776

Mailing address

PO Box 332
Fredonia, NY 14063-0332
Phone (716) 679-4399

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00081270NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1043529399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140630332",
            "telephone_number": "716-679-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 3RD ST STE 17",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014776",
            "telephone_number": "716-484-9188",
            "fax_number": "716-484-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "JACQUELINE",
        "middle_name": "A.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00081270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.