Doctor Name: | MS. JOY TIFFANY MAYO |
NPI Number: | 1457634842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., L.I.C.S.W. |
License Number: | LC50079170 |
Business Practice Address: | 2100 Brooks Dr Apt# 609 Forestville, MD - 207471063 |
Business Phone Number: | 3016742416 |
Business Fax Number: | |
Mailing Address: | 2100 Brooks Dr, Apt# 609 FORESTVILLE |
State: | MD |
Postal Code: | 207471063 |
Phone Number: | 3016742416 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC50079170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |