Provider Demographics
NPI:1437138880
Name:LLOYD, JULIE J (LCSWR)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:J
Last Name:LLOYD
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:J
Other - Last Name:FROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2280 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-9206
Mailing Address - Country:US
Mailing Address - Phone:518-456-5056
Mailing Address - Fax:518-456-6512
Practice Address - Street 1:2280 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:GUILDERLAND
Practice Address - State:NY
Practice Address - Zip Code:12084-9206
Practice Address - Country:US
Practice Address - Phone:518-456-5056
Practice Address - Fax:518-456-6512
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR075769-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040426032125OtherFIDELIS
NYN810G1OtherBLUE CROSS