Healthcare Provider Details

I. General information

NPI: 1518104801
Provider Name (Legal Business Name): JOSHUA A PLOSKER LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 01/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8825 N 23RD AVE STE 100
PHOENIX AZ
85021-4147
US

IV. Provider business mailing address

1811 S ALMA SCHOOL RD STE 160
MESA AZ
85210-3001
US

V. Phone/Fax

Practice location:
  • Phone: 602-861-2255
  • Fax: 602-861-2288
Mailing address:
  • Phone: 480-831-7566
  • Fax: 480-962-7671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-12604
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: