Provider Demographics
NPI:1508554155
Name:CEDILLO, JOSSELYN (MSW, LCSW-A)
Entity Type:Individual
Prefix:
First Name:JOSSELYN
Middle Name:
Last Name:CEDILLO
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 HIGHLAND BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-7387
Mailing Address - Country:US
Mailing Address - Phone:704-691-5999
Mailing Address - Fax:
Practice Address - Street 1:170 MEDICAL PARK RD STE 208
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8541
Practice Address - Country:US
Practice Address - Phone:704-237-4240
Practice Address - Fax:704-785-8304
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical