Healthcare Provider Details

I. General information

NPI: 1609765908
Provider Name (Legal Business Name): JOSHUA EDWARD ALEXANDER THOMAS LCSWC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 GEORGIA AVE STE 902
SILVER SPRING MD
20910-3635
US

IV. Provider business mailing address

8720 GEORGIA AVE STE 902
SILVER SPRING MD
20910-3635
US

V. Phone/Fax

Practice location:
  • Phone: 301-233-1081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28856
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: