Provider Demographics
NPI:1285807321
Name:WARREN, JULIE (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:WARREN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 ROLAND AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2393
Mailing Address - Country:US
Mailing Address - Phone:410-804-1738
Mailing Address - Fax:410-235-9533
Practice Address - Street 1:4800 ROLAND AVE
Practice Address - Street 2:STE 300
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2393
Practice Address - Country:US
Practice Address - Phone:410-804-1738
Practice Address - Fax:410-235-9533
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD138921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical