Provider Demographics
NPI:1790576874
Name:COATES, JOSHUA CHURCHILL (LCSW, MSW)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:CHURCHILL
Last Name:COATES
Suffix:
Gender:M
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373-9766
Mailing Address - Country:US
Mailing Address - Phone:413-687-4370
Mailing Address - Fax:
Practice Address - Street 1:113 RIVER RD
Practice Address - Street 2:
Practice Address - City:SOUTH DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-9766
Practice Address - Country:US
Practice Address - Phone:413-687-4370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2310421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical