Provider Demographics
NPI:1871653261
Name:STRONG, JULIA HELEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:HELEN
Last Name:STRONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:GARDNER
Other - Last Name:SEMMELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1709 B CLEVELAND HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501
Mailing Address - Country:US
Mailing Address - Phone:770-532-3247
Mailing Address - Fax:770-532-4845
Practice Address - Street 1:1709 B CLEVELAND HIGHWAY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:770-532-3247
Practice Address - Fax:770-532-4845
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0017561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBCTBMedicare ID - Type Unspecified
R92263Medicare UPIN