Provider Demographics
NPI:1649845934
Name:SYLVAIN, JULIA ANNE (LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:SYLVAIN
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6620
Mailing Address - Country:US
Mailing Address - Phone:770-337-1433
Mailing Address - Fax:
Practice Address - Street 1:5324 1ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6620
Practice Address - Country:US
Practice Address - Phone:770-337-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23147104100000X
DCLC500824961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker