Basic Information
| Provider Information | |||||||||
| NPI: | 1821645581 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAMERSON | ||||||||
| FirstName: | JOSIAH | ||||||||
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| Credential: | LCSW, MCAP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1509 N MILITARY TRL | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334094765 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1509 N MILITARY TRL | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334094765 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612232986 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2019 | ||||||||
| LastUpdateDate: | 08/19/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LSW16461 | FL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.