Joy Petway

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17236 Issued in MD

Practice address

9701 Apollo Dr
Ste 400
Largo, MD 20774-4791

Phone

(301) 772-0105

Fax

(301) 772-0103

NPI assigned

Apr 24, 2015

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Achieving Joy LLC

  • Mental Health Counselor
  • Washington, DC
  • NPI 1104366814
  NPD (past) Authorized official

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1770970063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 56TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812903",
            "telephone_number": "757-719-1926",
            "fax_number": "301-779-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR",
            "address_2": "STE 400",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744791",
            "telephone_number": "301-772-0105",
            "fax_number": "301-772-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETWAY",
        "first_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17236",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Great Care, L.L.C
• Ainisha Bikira Persaud, LCMFT
• Danielle Person
• Personal Touch Medical Spa LLC
• Holly Hoeller Pertmer, LCSW-C
• Elizabeth Kilmer Pfaffenroth, M.D.
• Tasha Renee Phillips-Wilson, MD, MS
• Jacob William Phillips, D.O.
• Yvette Darnell Phillips, LGSW
• Carolyn Dorothea Philson, BSN, RN, CDE

• Clinical Social Worker in Largo, MD
• Providers in Largo, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.