Provider Demographics
NPI:1760498257
Name:GIERS, JULIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:GIERS
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 1:522 CHESTNUT ST
Mailing Address - Street 2:2D
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3171
Mailing Address - Country:US
Mailing Address - Phone:630-321-1073
Mailing Address - Fax:630-214-0476
Practice Address - Street 1:522 CHESTNUT ST
Practice Address - Street 2:2D
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3171
Practice Address - Country:US
Practice Address - Phone:630-321-1073
Practice Address - Fax:630-214-0476
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2012-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0102621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK25073Medicare ID - Type Unspecified