Provider Demographics
NPI:1003063017
Name:ROSENSHEIN, JULIE BETH (LICSW)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:BETH
Last Name:ROSENSHEIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BRATTON CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1401
Mailing Address - Country:US
Mailing Address - Phone:413-262-1137
Mailing Address - Fax:
Practice Address - Street 1:3 BRATTON CT
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1401
Practice Address - Country:US
Practice Address - Phone:413-262-1137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1122251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical