Provider Demographics
NPI:1699151225
Name:COMP, JOSHUA L (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:L
Last Name:COMP
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 HANOVER PL APT 5
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-7113
Mailing Address - Country:US
Mailing Address - Phone:417-569-9330
Mailing Address - Fax:
Practice Address - Street 1:170 HANOVER PL APT 5
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7113
Practice Address - Country:US
Practice Address - Phone:417-569-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0068541041C0700X
MO20170321731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490024018Medicaid