MEDICARE: HEIDI LYNN JOSLIN LCSW

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
1	1041C0700X	Clinical Social Worker	6448-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831128784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI LYNN JOSLIN LCSW

Provider Business Mailing Address
First Line	:	1611 W BLOSSER RANCH RD
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89060-2919
Country	:	US
Telephone Number	:	775-990-9032
Fax Number	:	775-537-6347

Provider Business Practice Location Address
First Line	:	2220 NEVADA WEST BLVD
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-5879
Country	:	US
Telephone Number	:	775-990-9032
Fax Number	:	775-537-6347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	03/18/2016

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