Provider Demographics
NPI:1013497650
Name:STOELZEL, JULIE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:STOELZEL
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CRESCENT PL
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3900
Mailing Address - Country:US
Mailing Address - Phone:781-632-6035
Mailing Address - Fax:
Practice Address - Street 1:6 CRESCENT PL
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3900
Practice Address - Country:US
Practice Address - Phone:781-632-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1030190104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker