Provider Demographics
NPI:1407024912
Name:SAPIENZA, JULIE E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:E
Last Name:SAPIENZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4111 E VALLEY AUTO DR STE 209
Mailing Address - Street 2:(MAIL TO SUITE 201)
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4609
Mailing Address - Country:US
Mailing Address - Phone:480-770-6566
Mailing Address - Fax:
Practice Address - Street 1:1492 S MILL AVE STE 312
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-5676
Practice Address - Country:US
Practice Address - Phone:602-243-7277
Practice Address - Fax:480-927-1092
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-158951041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1407024912Medicaid