Provider Demographics
NPI:1700214541
Name:SPITTLER, JULIE VOSE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:VOSE
Last Name:SPITTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3937 WESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-1936
Mailing Address - Country:US
Mailing Address - Phone:919-821-0790
Mailing Address - Fax:919-518-9476
Practice Address - Street 1:3937 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-1936
Practice Address - Country:US
Practice Address - Phone:919-821-0790
Practice Address - Fax:919-518-9476
Is Sole Proprietor?:No
Enumeration Date:2013-10-14
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY64061041C0700X
NCC0124471041C0700X
KY40631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1700214541Medicaid