Provider Demographics
NPI:1265302111
Name:GORE, JOSHUA JOSEPH (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JOSEPH
Last Name:GORE
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 1:12446 TEACUP WAY
Mailing Address - Street 2:
Mailing Address - City:OAKLANDON
Mailing Address - State:IN
Mailing Address - Zip Code:46235-6121
Mailing Address - Country:US
Mailing Address - Phone:317-627-3511
Mailing Address - Fax:
Practice Address - Street 1:3425 FOLTZ ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46221-2331
Practice Address - Country:US
Practice Address - Phone:317-501-6402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34011746A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical