Provider Demographics
NPI:1609435817
Name:PEELE, JOSHUA ADAMS (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ADAMS
Last Name:PEELE
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10561 VIRGINIA PL
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-0470
Mailing Address - Country:US
Mailing Address - Phone:910-280-4534
Mailing Address - Fax:
Practice Address - Street 1:322 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3834
Practice Address - Country:US
Practice Address - Phone:910-544-6937
Practice Address - Fax:910-277-4314
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0134671041C0700X
NCC0139801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty