Provider Demographics
NPI:1982221552
Name:UPADHYAY, JULLIET (MPH, MBA, MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULLIET
Middle Name:
Last Name:UPADHYAY
Suffix:
Gender:F
Credentials:MPH, MBA, MSW, LCSW
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:UPADHYAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH, MBA, MSW, LCSW
Mailing Address - Street 1:41 GARRISON RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4445
Mailing Address - Country:US
Mailing Address - Phone:646-262-8073
Mailing Address - Fax:
Practice Address - Street 1:43 GARRISON RD
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4445
Practice Address - Country:US
Practice Address - Phone:617-277-8107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2261841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical