Provider Demographics
NPI:1649729880
Name:CARDONE, JULIA (LCSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:CARDONE
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 1:450 ERWIN ST
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-5149
Mailing Address - Country:US
Mailing Address - Phone:203-581-0769
Mailing Address - Fax:
Practice Address - Street 1:450 ERWIN ST
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5149
Practice Address - Country:US
Practice Address - Phone:203-581-0769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2020-12-18
Deactivation Date:2020-06-22
Deactivation Code:
Reactivation Date:2020-12-08
Provider Licenses
StateLicense IDTaxonomies
CT0112321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical