Provider Demographics
NPI:1316389034
Name:MATHEWSON, JULIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MATHEWSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:A
Other - Middle Name:CLEAR
Other - Last Name:VIEW COUNSELING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9176 S 300 W STE 4
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2669
Mailing Address - Country:US
Mailing Address - Phone:801-679-3932
Mailing Address - Fax:
Practice Address - Street 1:9176 S 300 W STE 4
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2669
Practice Address - Country:US
Practice Address - Phone:801-679-3932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5809201-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical