Provider Demographics
NPI:1144675968
Name:MAXMILLION, JOY GLASPER (LMSW)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:GLASPER
Last Name:MAXMILLION
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 NUMA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-2714
Mailing Address - Country:US
Mailing Address - Phone:504-250-1595
Mailing Address - Fax:
Practice Address - Street 1:9235 LAKE FOREST BLVD
Practice Address - Street 2:STE A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127
Practice Address - Country:US
Practice Address - Phone:504-241-8188
Practice Address - Fax:504-264-5941
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6454104100000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker