Provider Demographics
NPI:1639983596
Name:FOSKETT, JOSHUA WILSON (LCSW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:WILSON
Last Name:FOSKETT
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 1:3754 BEAUTIFUL RUN RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-5058
Mailing Address - Country:US
Mailing Address - Phone:434-326-6075
Mailing Address - Fax:
Practice Address - Street 1:1562 DAIRY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-1304
Practice Address - Country:US
Practice Address - Phone:434-245-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040075051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical