Provider Demographics
NPI:1346332749
Name:JALEWSKY, JULIE A (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:JALEWSKY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:FARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:210 WINTER STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188
Mailing Address - Country:US
Mailing Address - Phone:781-561-9161
Mailing Address - Fax:
Practice Address - Street 1:210 WINTER STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188
Practice Address - Country:US
Practice Address - Phone:617-774-6036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2137291041C0700X
MA1167441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1300989Medicaid
MAY 10241Medicare ID - Type Unspecified