Provider Demographics
NPI:1821235672
Name:BARTHELS, JULIE K (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:K
Last Name:BARTHELS
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:PO BOX 2069
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61130-0069
Mailing Address - Country:US
Mailing Address - Phone:815-289-7513
Mailing Address - Fax:
Practice Address - Street 1:8459 CREEKWAY LN
Practice Address - Street 2:
Practice Address - City:MACHESNEY PARK
Practice Address - State:IL
Practice Address - Zip Code:61115-2731
Practice Address - Country:US
Practice Address - Phone:815-289-7513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0102391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical