Joshua Ponce

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34091 Issued in MN

Practice address

1880 Livingston Ave Ste 200
West St Paul, MN 55118-3426

Phone

(651) 402-4302

NPI assigned

Jun 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1548830896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 200",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 200",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-402-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Joan Pavek
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• Hailey Phoulavan, DPT
• Elizabeth Placzek, M.D.
• Natalie E Polak, MS
• Teresa Ann Puff, MSW, LICSW
• John O Punderson, MD
• Osama Qureshi
• Radiant Isight LLC
• Daniella Marie Rafnson, MSW, LICSW

• Clinical Social Worker in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.