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
Mailing address201 E Madison St Ste 328, Springfield, IL 62702-5131

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