Healthcare Provider Details

I. General information

NPI: 1093250847
Provider Name (Legal Business Name): JOSHUA JOHN URSO LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 S STATE ST STE 3
CLARKS SUMMIT PA
18411-1590
US

IV. Provider business mailing address

410 S ABINGTON RD
CLARKS GREEN PA
18411-2612
US

V. Phone/Fax

Practice location:
  • Phone: 570-290-8603
  • Fax: 888-649-2818
Mailing address:
  • Phone: 570-575-5449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW025026
License Number StatePA

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: