Provider Demographics
NPI:1912410085
Name:GREENE, JULIE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9505 REISTERSTOWN RD STE 3NW
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4451
Mailing Address - Country:US
Mailing Address - Phone:443-940-5550
Mailing Address - Fax:
Practice Address - Street 1:9505 REISTERSTOWN RD STE 3NW
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4451
Practice Address - Country:US
Practice Address - Phone:443-940-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD267831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical