Provider Demographics
NPI:1306515663
Name:CHILDS, JULIA-ELISE (LCSW)
Entity type:Individual
Prefix:
First Name:JULIA-ELISE
Middle Name:
Last Name:CHILDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2395
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91102-2395
Mailing Address - Country:US
Mailing Address - Phone:805-798-7732
Mailing Address - Fax:
Practice Address - Street 1:200 E DEL MAR BLVD STE 160
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2507
Practice Address - Country:US
Practice Address - Phone:626-765-5308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty