Provider Demographics
NPI:1942176995
Name:MOORE, JULIA KAYE (LMSW)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:KAYE
Last Name:MOORE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12115 SNUG HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2690
Mailing Address - Country:US
Mailing Address - Phone:410-430-7060
Mailing Address - Fax:
Practice Address - Street 1:12115 SNUG HARBOR RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-2690
Practice Address - Country:US
Practice Address - Phone:410-430-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD33929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health