Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joshua James Statler

Individual provider Clinical Social Worker · NPI 1962989434

Joshua James Statler is a Clinical Social Worker in Quincy, Illinois. Qualified in 2019, 7 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

612 N 11th St
Quincy, IL 62301-2662
Phone: (217) 224-9484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 — (314) 206-3700

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.027283 (IL)

Record details

NPI number1962989434
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Quincy