Provider Demographics
NPI:1881432763
Name:DELOTTO, JULIA MARIA (LICSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIA
Last Name:DELOTTO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 THORNELL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NH
Mailing Address - Zip Code:03858-3617
Mailing Address - Country:US
Mailing Address - Phone:978-518-6674
Mailing Address - Fax:
Practice Address - Street 1:149 HANOVER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-2235
Practice Address - Country:US
Practice Address - Phone:603-696-4872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH49981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical