Provider Demographics
NPI:1346599750
Name:TEITELBAUM, JULIA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:TEITELBAUM
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:ARONOW-FRIEDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 ABBEY LN
Mailing Address - Street 2:UNIT 5310
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5224
Mailing Address - Country:US
Mailing Address - Phone:480-229-9223
Mailing Address - Fax:
Practice Address - Street 1:731 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2872
Practice Address - Country:US
Practice Address - Phone:203-261-7090
Practice Address - Fax:888-856-3413
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20140295231041C0700X
WASC 601671181041C0700X
CT0096361041C0700X
WACO 60195232101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)