Provider Demographics
NPI:1831668912
Name:SAMETH, JULIA L (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:L
Last Name:SAMETH
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 1:605 HAVERFORD AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2004
Mailing Address - Country:US
Mailing Address - Phone:908-635-8204
Mailing Address - Fax:
Practice Address - Street 1:605 HAVERFORD AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2004
Practice Address - Country:US
Practice Address - Phone:908-635-8204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-18
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060830001041C0700X, 1041C0700X
PACW0234301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical