MEDICARE: MR. JOSHUA SETH MINNIS MSW

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	LSCSW06570	KS
2	1041C0700X	Clinical Social Worker	2024046236	MO

General Provider Information

NPI Number	:	1467068270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA SETH MINNIS MSW

Provider Business Mailing Address
First Line	:	PO BOX 844383
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4383
Country	:	US
Telephone Number	:	816-221-0305
Fax Number	:	816-221-9121

Provider Business Practice Location Address
First Line	:	2029 BUCHANAN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-3405
Country	:	US
Telephone Number	:	816-221-0305
Fax Number	:	816-221-9121

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

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	06/01/2026

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