Provider Demographics
NPI:1437662335
Name:JOSLIN, JOHN DAVID (LCSW, LAPSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:JOSLIN
Suffix:
Gender:M
Credentials:LCSW, LAPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38107-5038
Mailing Address - Country:US
Mailing Address - Phone:501-351-4746
Mailing Address - Fax:
Practice Address - Street 1:750 N EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38107-5038
Practice Address - Country:US
Practice Address - Phone:501-351-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN411104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker