Provider Demographics
NPI:1841657574
Name:YOSELOVSKY, JOSHUA (LCSW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:YOSELOVSKY
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 1:300 MERCER ST APT 11E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6735
Mailing Address - Country:US
Mailing Address - Phone:347-601-6601
Mailing Address - Fax:
Practice Address - Street 1:300 MERCER ST APT 11E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6735
Practice Address - Country:US
Practice Address - Phone:347-601-6601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0839791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical