Provider Demographics
NPI:1790384147
Name:FIGUEROA, JULIE ADELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ADELLE
Last Name:FIGUEROA
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 1:301 WASHINGTON ST APT 1313
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-4010
Mailing Address - Country:US
Mailing Address - Phone:267-608-9758
Mailing Address - Fax:
Practice Address - Street 1:301 WASHINGTON ST APT 1313
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-4010
Practice Address - Country:US
Practice Address - Phone:267-608-9758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-17
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0201111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical