Individual provider Active NPI

Joshua Aaron Neitlich, LCSW

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1447763586
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009994 Issued in CT
Practice address
12554 Nautilus Cir
Palm Beach Gardens, FL 33412-2489
Phone
(203) 993-7809
NPI assigned
Nov 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 009994 CT Primary

Addresses

Primary practice location

12554 Nautilus Cir
Palm Beach Gardens, FL 33412-2489

Mailing address

12554 Nautilus Cir
Palm Beach Gardens, FL 33412-2489

Other practice location 1

2425 Post Rd Ste 103
Southport, CT 06890-1267
Phone (203) 993-7809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009994CTMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1447763586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 NAUTILUS CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 NAUTILUS CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122489",
            "telephone_number": "203-993-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Post Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "CT",
            "postal_code": "068901267",
            "country_code": "US",
            "telephone_number": "203-993-7809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEITLICH",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-11",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.