Provider Demographics
NPI:1184726929
Name:MAKAR, JULIE (LCSW-R)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MAKAR
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 CARTER STREET
Mailing Address - Street 2:ATTN: KELLY STEELE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621
Mailing Address - Country:US
Mailing Address - Phone:585-339-4793
Mailing Address - Fax:585-336-4845
Practice Address - Street 1:1185 SWEET HOME RD
Practice Address - Street 2:AMHERST UNIVERSITY HEALTH CENTER
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-689-0040
Practice Address - Fax:716-568-2330
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033204104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6290246OtherIHA #
NY00011283003OtherUNIVERA #
NY050421000077OtherFIDELIS CARE #
NY000524634007OtherHEALTH NOW BCBS #
NY177953FKOtherPREFERRED CARE #
NY00011283003OtherUNIVERA #
S36198Medicare UPIN