Provider Demographics
NPI:1407432529
Name:MEEKER, JOSHUA (MSW,LISW-S)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:MEEKER
Suffix:
Gender:M
Credentials:MSW,LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WILMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1891
Mailing Address - Country:US
Mailing Address - Phone:937-623-9594
Mailing Address - Fax:
Practice Address - Street 1:324 WILMINGTON AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-1891
Practice Address - Country:US
Practice Address - Phone:937-623-9594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.18009211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical