Provider Demographics
NPI:1376381822
Name:DILLON, JOSHUA (LSW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:DILLON
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 E ZANE AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-1323
Mailing Address - Country:US
Mailing Address - Phone:573-356-8208
Mailing Address - Fax:
Practice Address - Street 1:566 OLD FORKS RD
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2644
Practice Address - Country:US
Practice Address - Phone:609-567-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06794100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker