Provider Demographics
NPI:1477726750
Name:MOONEY, JULIE KENT (LCSWA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KENT
Last Name:MOONEY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 S JIMMIES CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-3704
Mailing Address - Country:US
Mailing Address - Phone:252-638-3888
Mailing Address - Fax:
Practice Address - Street 1:304 S JIMMIES CREEK DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-3704
Practice Address - Country:US
Practice Address - Phone:252-638-3888
Practice Address - Fax:252-281-2344
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0175211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical