Provider Demographics
NPI:1578157251
Name:BARRY, JULIE ANNA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNA
Last Name:BARRY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNA
Other - Last Name:MICKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:213 SMITHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2224
Mailing Address - Country:US
Mailing Address - Phone:412-818-3821
Mailing Address - Fax:
Practice Address - Street 1:213 SMITHFIELD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2224
Practice Address - Country:US
Practice Address - Phone:412-818-3821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW021833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104036130-0001Medicaid