Provider Demographics
NPI:1891081410
Name:KALP, JULIA NICOLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:NICOLE
Last Name:KALP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:NICOLE
Other - Last Name:WEST AND TANNEHILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:224 HILL TOP RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15530-9655
Mailing Address - Country:US
Mailing Address - Phone:814-442-2911
Mailing Address - Fax:
Practice Address - Street 1:224 HILL TOP RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:PA
Practice Address - Zip Code:15530-9655
Practice Address - Country:US
Practice Address - Phone:814-442-2911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0176651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical