Provider Demographics
NPI:1639236037
Name:LANIER, JULE (LCSW)
Entity type:Individual
Prefix:
First Name:JULE
Middle Name:
Last Name:LANIER
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 1:201 E 87TH ST
Mailing Address - Street 2:# 10D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3203
Mailing Address - Country:US
Mailing Address - Phone:212-691-1619
Mailing Address - Fax:
Practice Address - Street 1:201 E 87TH ST
Practice Address - Street 2:# 10D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3203
Practice Address - Country:US
Practice Address - Phone:212-691-1619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR040557-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJL0N3J9310Medicare ID - Type Unspecified