Provider Demographics
NPI:1043075666
Name:MADAN, JULIE ELYSE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ELYSE
Last Name:MADAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 CEDAR ST APT C
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3919
Mailing Address - Country:US
Mailing Address - Phone:732-609-5782
Mailing Address - Fax:
Practice Address - Street 1:190 CEDAR ST APT C
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3919
Practice Address - Country:US
Practice Address - Phone:732-609-5782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker