Provider Demographics
NPI:1497550362
Name:JULES, MARIE DANA (LCSW)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:DANA
Last Name:JULES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 W GIBBONS ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4050
Mailing Address - Country:US
Mailing Address - Phone:908-906-1383
Mailing Address - Fax:
Practice Address - Street 1:218 W GIBBONS ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4050
Practice Address - Country:US
Practice Address - Phone:908-906-1383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099484-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical