Provider Demographics
NPI:1184968018
Name:VIERLING, JULIE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:VIERLING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N SUMMIT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1531
Mailing Address - Country:US
Mailing Address - Phone:419-291-7749
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:5855 MONROE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2269
Practice Address - Country:US
Practice Address - Phone:419-291-7749
Practice Address - Fax:419-824-7359
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.13028061041C0700X
MI6801073829104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801073829OtherSTATE OF MICHIGAN LICENSE
OH0377741Medicaid
OHI.1302806OtherSTATE OF OHIO LICENSE