Provider Demographics
NPI:1851902936
Name:MASTERS, JULIA BROOKS (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:BROOKS
Last Name:MASTERS
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 1:150 E 77TH ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1924
Mailing Address - Country:US
Mailing Address - Phone:646-354-3688
Mailing Address - Fax:
Practice Address - Street 1:125 E 23RD ST STE 402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4547
Practice Address - Country:US
Practice Address - Phone:646-354-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109492104100000X
NJ44SL06938800104100000X
NY0972191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker