Provider Demographics
NPI:1801147038
Name:OPATOWSKY, JOSHUA DAVID (DSW, LCSW, LICSW)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:OPATOWSKY
Suffix:
Gender:M
Credentials:DSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7347 RAINIER DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-5772
Mailing Address - Country:US
Mailing Address - Phone:661-886-6046
Mailing Address - Fax:
Practice Address - Street 1:7347 RAINIER DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-5772
Practice Address - Country:US
Practice Address - Phone:661-886-6046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1928901041C0700X
WY14511041C0700X
WALW612335471041C0700X
AR12022-C1041C0700X
UT12784405-35011041C0700X
ND63441041C0700X
OK62721041C0700X
CA807651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical