Provider Demographics
NPI:1982238564
Name:DEMERITTE, JULIET ANN (LCSWA)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:ANN
Last Name:DEMERITTE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4033 GRIFFIS GLEN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5692
Mailing Address - Country:US
Mailing Address - Phone:919-264-9968
Mailing Address - Fax:
Practice Address - Street 1:4033 GRIFFIS GLEN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5692
Practice Address - Country:US
Practice Address - Phone:919-264-9968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-23
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0143631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical