Provider Demographics
NPI:1922839042
Name:GRIBBLE, JOY MARIE (LCSW, DMIN)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:MARIE
Last Name:GRIBBLE
Suffix:
Gender:F
Credentials:LCSW, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 LORRAINE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-1837
Mailing Address - Country:US
Mailing Address - Phone:925-368-5696
Mailing Address - Fax:
Practice Address - Street 1:171 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2443
Practice Address - Country:US
Practice Address - Phone:925-368-5696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099298191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical