Provider Demographics
NPI:1245264977
Name:BUCHINSKI, JULIE CLARE (LICSW)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CLARE
Last Name:BUCHINSKI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 PARKMAN ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3812
Mailing Address - Country:US
Mailing Address - Phone:617-733-5406
Mailing Address - Fax:
Practice Address - Street 1:1330 BEACON ST
Practice Address - Street 2:STE 349
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3204
Practice Address - Country:US
Practice Address - Phone:617-733-5406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1108801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP07119OtherBCBS
P2021803Medicare PIN