Provider Demographics
NPI:1013293208
Name:MARX-ANDLER, JULIANA (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:MARX-ANDLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 MOUNTAIN BLVD
Mailing Address - Street 2:BLDG 69
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4500
Mailing Address - Country:US
Mailing Address - Phone:510-695-1968
Mailing Address - Fax:510-317-1144
Practice Address - Street 1:8750 MOUNTAIN BLVD
Practice Address - Street 2:BLDG 69
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605
Practice Address - Country:US
Practice Address - Phone:510-777-5300
Practice Address - Fax:510-317-1144
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA663961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical