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NPI Code Detail

MEDICARE: JOSHUA BRADLEY WARTELLE LMSW

MEDICARE: JOSHUA BRADLEY WARTELLE LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker15685LA

General Provider Information

NPI Number : 1598302580
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA BRADLEY WARTELLE LMSW
Provider Business Mailing Address
First Line : 3737 NORTH BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-3823
Country : US
Telephone Number : 225-240-8549
Fax Number :
Provider Business Practice Location Address
First Line : 3737 NORTH BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-3823
Country : US
Telephone Number : 225-240-8549
Fax Number : 225-442-3546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2019
Last Update Date : 03/21/2023

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