Provider Demographics
NPI:1124261508
Name:MOSKOVITZ, JULIE ANN (MSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:MOSKOVITZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MOSKOVITZ
Other - Last Name:TOBIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1 IRVING LN
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-1107
Mailing Address - Country:US
Mailing Address - Phone:925-640-4889
Mailing Address - Fax:
Practice Address - Street 1:23 ALTARINDA RD
Practice Address - Street 2:SUITE 205
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2600
Practice Address - Country:US
Practice Address - Phone:925-640-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS108371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical