Provider Demographics
NPI:1649968173
Name:HAHN, JOSHUA MATTHEW (LCSW, CAS)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:MATTHEW
Last Name:HAHN
Suffix:
Gender:M
Credentials:LCSW, CAS
Other - Prefix:
Other - First Name:JOSH
Other - Middle Name:MATTHEW
Other - Last Name:HAHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, CAS
Mailing Address - Street 1:8414 EVERETT WAY UNIT D
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-2378
Mailing Address - Country:US
Mailing Address - Phone:720-331-6697
Mailing Address - Fax:
Practice Address - Street 1:8414 EVERETT WAY UNIT D
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-2378
Practice Address - Country:US
Practice Address - Phone:720-331-6697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007222101YA0400X
CO1444161041S0200X
CO099236901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool