Provider Demographics
NPI:1164735213
Name:ESTEY, JULIE LYN (MSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYN
Last Name:ESTEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1608
Mailing Address - Country:US
Mailing Address - Phone:781-331-6113
Mailing Address - Fax:781-331-6116
Practice Address - Street 1:911 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1608
Practice Address - Country:US
Practice Address - Phone:781-331-6113
Practice Address - Fax:781-331-6116
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker