Provider Demographics
NPI:1225601180
Name:FLAHERTY, JOSHUA (MSW)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:FLAHERTY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 AMY RD
Mailing Address - Street 2:
Mailing Address - City:FALLS VILLAGE
Mailing Address - State:CT
Mailing Address - Zip Code:06031-1409
Mailing Address - Country:US
Mailing Address - Phone:917-687-2476
Mailing Address - Fax:
Practice Address - Street 1:61 LESLIE LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-1665
Practice Address - Country:US
Practice Address - Phone:917-687-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CT6733104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker