Provider Demographics
NPI:1033461033
Name:MEEK, JULIE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARIE
Last Name:MEEK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JEWELS
Other - Middle Name:
Other - Last Name:MEEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3110 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83703-4606
Mailing Address - Country:US
Mailing Address - Phone:208-412-3510
Mailing Address - Fax:208-333-0888
Practice Address - Street 1:3324 W ELDER ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705
Practice Address - Country:US
Practice Address - Phone:208-333-0008
Practice Address - Fax:208-333-0888
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID32336104100000X
ID354241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker