Provider Demographics
NPI:1356192249
Name:BOATWRIGHT, JULIUS ANTONIO (LCSW)
Entity type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:ANTONIO
Last Name:BOATWRIGHT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BROADWAY AVE UNIT 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-3788
Mailing Address - Country:US
Mailing Address - Phone:141-225-1779
Mailing Address - Fax:
Practice Address - Street 1:226 PAUL ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-2332
Practice Address - Country:US
Practice Address - Phone:412-251-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical