Provider Demographics
NPI:1144364613
Name:HARTMAN, JOY ANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANNE
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W234N7697 GREY MOSS CT
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-1548
Mailing Address - Country:US
Mailing Address - Phone:262-372-4203
Mailing Address - Fax:
Practice Address - Street 1:W234N7697 GREY MOSS CT
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-1548
Practice Address - Country:US
Practice Address - Phone:262-372-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6541-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical