Provider Demographics
NPI:1740880665
Name:BERGLIOT, JULIA KATHRYN (LICSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KATHRYN
Last Name:BERGLIOT
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 GRAND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-3492
Mailing Address - Country:US
Mailing Address - Phone:612-454-1656
Mailing Address - Fax:651-560-3768
Practice Address - Street 1:1409 WILLOW ST STE 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2249
Practice Address - Country:US
Practice Address - Phone:612-351-0797
Practice Address - Fax:651-560-3768
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN277561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical