Provider Demographics
NPI:1972544484
Name:SCHURMAN, JOSHUA L (MSW)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:L
Last Name:SCHURMAN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 SPRING ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2979
Mailing Address - Country:US
Mailing Address - Phone:401-843-8200
Mailing Address - Fax:401-843-8201
Practice Address - Street 1:42 SPRING ST
Practice Address - Street 2:SUITE 8
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2979
Practice Address - Country:US
Practice Address - Phone:401-843-8200
Practice Address - Fax:401-843-8201
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW010311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI22139-1OtherBLUE CROSS/BLUE SHIELD
RIJS51926Medicaid