MEDICARE: MR. JOSHUA C TRUMBULL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW00001203	KY

General Provider Information

NPI Number	:	1033607908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA C TRUMBULL LCSW

Provider Business Mailing Address
First Line	:	1490 UNIVERSITY BLVD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-3305
Country	:	US
Telephone Number	:	513-881-7189
Fax Number	:	513-881-7188

Provider Business Practice Location Address
First Line	:	245 FOUNTAIN CT STE 225
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1888
Country	:	US
Telephone Number	:	859-323-6021
Fax Number	:	859-323-4927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	01/09/2026

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