Provider Demographics
NPI:1225097561
Name:HIGGINS, JULIE A (LICSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FEDERAL ST
Mailing Address - Street 2:MAPS COUNSELING SERVICES
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3632
Mailing Address - Country:US
Mailing Address - Phone:603-355-2244
Mailing Address - Fax:603-355-2299
Practice Address - Street 1:9 VOSE FARM RD
Practice Address - Street 2:MAPS COUNSELING SERVICES
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2154
Practice Address - Country:US
Practice Address - Phone:603-924-2240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH387281OtherMVP PIN
NH14Y007922NH01OtherANTHEM ACES #
NH2205262OtherCIGNA BH PIN
NH30423149Medicaid
NH30423149Medicaid