Individual
JOSHUA KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,MSW,BS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9427
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060669107
HEALTHYCT WELLMORE GRP/FACILITY
CT
01
—
13810479
CAQH
CT
01
—
D339229 -DANBURY
BEACON HEALTH STRATEGIES
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
05
—
PENDING
—
CT
Enumeration date
11/01/2013
Last updated
06/07/2016
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