Provider Demographics
NPI:1578215620
Name:SKELTON, JOSHUA ANTHONY (LSW)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ANTHONY
Last Name:SKELTON
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 ADAMS DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8623
Mailing Address - Country:US
Mailing Address - Phone:717-967-8288
Mailing Address - Fax:
Practice Address - Street 1:8130 ADAMS DR
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8623
Practice Address - Country:US
Practice Address - Phone:717-967-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136966104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker