Provider Demographics
NPI:1134154149
Name:SWARTZ, JULIA (LICSW)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:FAGNANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2450
Mailing Address - Fax:508-350-2318
Practice Address - Street 1:475 SCHOOL ST STE 7
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2034
Practice Address - Country:US
Practice Address - Phone:339-793-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1024158104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP2263102OtherMEDICARE PTAN
MAP2263101OtherMEDICARE PTAN