Michael Joyce, Licsw. PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890000718 Issued in VT

Legal business name

MICHAEL JOYCE, LICSW. PLC

Practice address

525 Hercules Dr
Suite 1a
Colchester, VT 05446-5993

Phone

(802) 264-5333

Fax

(802) 264-5338

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Joyce, LICSW

Title

Sole Member

Phone

(802) 264-5333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1083967640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054460392",
            "telephone_number": "802-264-5333",
            "fax_number": "802-264-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 HERCULES DR",
            "address_2": "SUITE 1A",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465993",
            "telephone_number": "802-264-5333",
            "fax_number": "802-264-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL JOYCE, LICSW. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "802-264-5333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021066",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Colchester, VT
• Providers in Colchester, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.