Provider Demographics
NPI:1346512662
Name:JULIA, VERONICA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:JULIA
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 1:568 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4378
Mailing Address - Country:US
Mailing Address - Phone:646-373-3841
Mailing Address - Fax:212-353-4403
Practice Address - Street 1:568 GRAND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4378
Practice Address - Country:US
Practice Address - Phone:646-373-3841
Practice Address - Fax:212-353-4403
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058923104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker