Provider Demographics
NPI:1518643667
Name:RAINER, JULIA (MSS, LSW, LMSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:RAINER
Suffix:
Gender:F
Credentials:MSS, LSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 WOLF ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-5710
Mailing Address - Country:US
Mailing Address - Phone:267-909-0709
Mailing Address - Fax:
Practice Address - Street 1:437 WOLF ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19148-5710
Practice Address - Country:US
Practice Address - Phone:267-909-0709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker