Provider Demographics
NPI:1497803647
Name:TAPLEY, JULIA S (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:S
Last Name:TAPLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 GARRETSON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-1236
Mailing Address - Country:US
Mailing Address - Phone:718-979-4766
Mailing Address - Fax:718-979-4766
Practice Address - Street 1:290 GARRETSON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-1236
Practice Address - Country:US
Practice Address - Phone:718-979-4766
Practice Address - Fax:718-979-4766
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR042019-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN276Z1Medicare ID - Type UnspecifiedEMPIRE MEDICARE SERVICES