Healthcare Provider Details

I. General information

NPI: 1013375625
Provider Name (Legal Business Name): JOSHUA DURKALSKI SW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 EUCLID AVE
CLEVELAND OH
44103-3734
US

IV. Provider business mailing address

4500 EUCLID AVE
CLEVELAND OH
44103-3736
US

V. Phone/Fax

Practice location:
  • Phone: 216-432-7200
  • Fax: 216-432-7253
Mailing address:
  • Phone: 216-432-7200
  • Fax: 216-432-7253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1901450-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: