Provider Demographics
NPI:1912633892
Name:CORTES, JOSHUA (LCSW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:CORTES
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 1:95 BLANCHARD RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:CT
Mailing Address - Zip Code:06612-1933
Mailing Address - Country:US
Mailing Address - Phone:203-450-9655
Mailing Address - Fax:475-253-3237
Practice Address - Street 1:350 CENTER ROCK GRN STE 10D
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-3170
Practice Address - Country:US
Practice Address - Phone:203-450-9772
Practice Address - Fax:475-253-3237
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT142411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical