MEDICARE: JOSHUA TROY LEE SWT

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	104100000X	Social Worker	S.2504684-TRNE	OH

General Provider Information

NPI Number	:	1184511032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA TROY LEE SWT

Provider Business Mailing Address
First Line	:	1251 NILLES RD STE 5
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-7205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	596 MULLIKEN LN
Second Line	:
City	:	BEDFORD
State	:	KY
Zip	:	40006-8615
Country	:	US
Telephone Number	:	502-619-1365
Fax Number	:

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

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	03/12/2026

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Directions to “ JOSHUA TROY LEE SWT” Practice Location

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