Provider Demographics
NPI:1225602279
Name:UMBARGER, JULIANNE (LMSW)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:UMBARGER
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 1:149 E BRECKENRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1319
Mailing Address - Country:US
Mailing Address - Phone:586-864-3739
Mailing Address - Fax:
Practice Address - Street 1:149 E BRECKENRIDGE ST
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1319
Practice Address - Country:US
Practice Address - Phone:586-864-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011071851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical