Healthcare Provider Details

I. General information

NPI: 1295544724
Provider Name (Legal Business Name): JOSHUA ANTHONY VALADEZ LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOSHUA ANTHONY VASQUEZ

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 N 7TH ST
PHOENIX AZ
85014-5005
US

IV. Provider business mailing address

1821 N 208TH AVE
BUCKEYE AZ
85396-5489
US

V. Phone/Fax

Practice location:
  • Phone: 602-258-6797
  • Fax:
Mailing address:
  • Phone: 480-202-8932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23856
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: