Provider Demographics
NPI:1992029615
Name:KIRVAN, JULIA A (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:A
Last Name:KIRVAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8920 BRADMOOR DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3469
Mailing Address - Country:US
Mailing Address - Phone:301-518-7077
Mailing Address - Fax:
Practice Address - Street 1:8920 BRADMOOR DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3469
Practice Address - Country:US
Practice Address - Phone:301-518-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical