Provider Demographics
NPI:1437327814
Name:PASCOE, JULIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:PASCOE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:PASCOE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:112 BOEYKENS PL STE 3A
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-6161
Mailing Address - Country:US
Mailing Address - Phone:815-343-0388
Mailing Address - Fax:
Practice Address - Street 1:112 BOEYKENS PL STE 3A
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-6161
Practice Address - Country:US
Practice Address - Phone:815-343-0388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490142681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical