Provider Demographics
NPI:1821237504
Name:LINTON, JULIE KAY (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY
Last Name:LINTON
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 1:16554 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1325
Mailing Address - Country:US
Mailing Address - Phone:813-368-6757
Mailing Address - Fax:813-368-6757
Practice Address - Street 1:14530 NETTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2639
Practice Address - Country:US
Practice Address - Phone:813-368-6757
Practice Address - Fax:813-368-6757
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW48611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE0411BMedicare Oscar/Certification