Provider Demographics
NPI:1336241173
Name:STOLTZFUS, JULIE MARA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARA
Last Name:STOLTZFUS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MARA
Other - Last Name:SATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:5900 MORGANS WAY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-3121
Mailing Address - Country:US
Mailing Address - Phone:410-627-5927
Mailing Address - Fax:410-548-4253
Practice Address - Street 1:209 E MARKET ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4948
Practice Address - Country:US
Practice Address - Phone:410-219-5999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD103811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD906RMedicare ID - Type Unspecified