Provider Demographics
NPI:1952698383
Name:SHERRILL, JULIA M (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:M
Last Name:SHERRILL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:MACHLEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:300 E MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1782
Mailing Address - Country:US
Mailing Address - Phone:317-978-0700
Mailing Address - Fax:317-978-0900
Practice Address - Street 1:300 E MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1782
Practice Address - Country:US
Practice Address - Phone:317-978-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC116241041C0700X
IN33006246A1041C0700X
IN34008005A1041C0700X
NCC0083641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1952698383Medicaid
SCSW1361Medicaid
SCSW1361Medicaid