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NPI Code Detail

MEDICARE: JOSHUA J SHILLING LMSW, CCS, CAADC

MEDICARE: JOSHUA J SHILLING LMSW, CCS, CAADC
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
1175T00000XPeer Specialist
2104100000XSocial Worker6801120717MI
3101YA0400XAddiction (Substance Use Disorder) CounselorMI

General Provider Information

NPI Number : 1609409994
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA J SHILLING LMSW, CCS, CAADC
Provider Business Mailing Address
First Line : 10801 S SAGINAW ST STE D
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8126
Country : US
Telephone Number : 947-225-7654
Fax Number :
Provider Business Practice Location Address
First Line : 10801 S SAGINAW ST STE D
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8126
Country : US
Telephone Number : 810-771-4074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2020
Last Update Date : 09/15/2025

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