Provider Demographics
NPI:1952746299
Name:PAQUETTE, JULIANNE MARIE (LMSW, CASAC-T)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:MARIE
Last Name:PAQUETTE
Suffix:
Gender:F
Credentials:LMSW, CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1369 BROADWAY FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7215
Mailing Address - Country:US
Mailing Address - Phone:212-268-8830
Mailing Address - Fax:
Practice Address - Street 1:1369 BROADWAY FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7215
Practice Address - Country:US
Practice Address - Phone:212-268-8830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCASAC-28462 TRAINEE101YA0400X
NY72-087772104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)