Provider Demographics
NPI:1497453989
Name:DIGIOVANNA, JOSHUA (MSW)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:DIGIOVANNA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:KING
Other - Last Name:DIGIOVANNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:390 RIVER STREET
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05156-2226
Mailing Address - Country:US
Mailing Address - Phone:802-886-4500
Mailing Address - Fax:802-886-4560
Practice Address - Street 1:708 ROUTE 30
Practice Address - Street 2:
Practice Address - City:NEWFANE
Practice Address - State:VT
Practice Address - Zip Code:05345
Practice Address - Country:US
Practice Address - Phone:802-365-7909
Practice Address - Fax:802-365-6102
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0135660101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional