Provider Demographics
NPI:1891991980
Name:CHESTNUT, JOSHUA M (LCSW)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:M
Last Name:CHESTNUT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 FAZIO CT
Mailing Address - Street 2:
Mailing Address - City:BELL BUCKLE
Mailing Address - State:TN
Mailing Address - Zip Code:37020-6085
Mailing Address - Country:US
Mailing Address - Phone:615-233-5650
Mailing Address - Fax:
Practice Address - Street 1:1831 HERITAGE PARK PLZ
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1547
Practice Address - Country:US
Practice Address - Phone:615-427-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48391041C0700X
TNLSW00000048391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNLSW0000004839OtherLCSW