Provider Demographics
NPI:1497067375
Name:FEENEY, JULIE B (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:B
Last Name:FEENEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 DORCHESTER AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4703
Mailing Address - Country:US
Mailing Address - Phone:573-355-0891
Mailing Address - Fax:
Practice Address - Street 1:780 AMERICAN LEGION HIGHWAY
Practice Address - Street 2:THE HOME FOR LITTLE WANDERERS
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131
Practice Address - Country:US
Practice Address - Phone:617-469-8557
Practice Address - Fax:617-469-8560
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215977104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker