Provider Demographics
NPI:1598453003
Name:OCONNOR, JOSHUA (LMSW)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:OCONNOR
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14119 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4805
Mailing Address - Country:US
Mailing Address - Phone:202-594-4460
Mailing Address - Fax:
Practice Address - Street 1:14119 PLEASANT VIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4805
Practice Address - Country:US
Practice Address - Phone:202-594-4460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD286811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical