Provider Demographics
NPI:1588910871
Name:NEWBURY, JOSHUA (CSW, MSW)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:NEWBURY
Suffix:
Gender:M
Credentials:CSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 S 300 W UNIT 203
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-2618
Mailing Address - Country:US
Mailing Address - Phone:801-459-9809
Mailing Address - Fax:
Practice Address - Street 1:2035 S 1300 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-3613
Practice Address - Country:US
Practice Address - Phone:801-467-7280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8346809-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical