Provider Demographics
NPI:1467585810
Name:MAXWELL, JULIA WALKER (LICSW, CAS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:WALKER
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:LICSW, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 7TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1802
Mailing Address - Country:US
Mailing Address - Phone:202-726-0536
Mailing Address - Fax:
Practice Address - Street 1:33 N ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3323
Practice Address - Country:US
Practice Address - Phone:202-727-8652
Practice Address - Fax:202-535-2473
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC 3009401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical