Provider Demographics
NPI:1003446204
Name:CALDWELL HARRELL, JULIE M (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:CALDWELL HARRELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:HARRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1201 W ALTO RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-4970
Mailing Address - Country:US
Mailing Address - Phone:765-450-9901
Mailing Address - Fax:
Practice Address - Street 1:1201 W ALTO RD UNIT D
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-4970
Practice Address - Country:US
Practice Address - Phone:765-450-9901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-16
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical