Provider Demographics
NPI:1639828163
Name:ERDMAN, JULIE BURROUGHS (LCSW)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:BURROUGHS
Last Name:ERDMAN
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 1:33 STARR DR
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1507
Mailing Address - Country:US
Mailing Address - Phone:516-313-9583
Mailing Address - Fax:
Practice Address - Street 1:3635 BELL BLVD STE 203
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2097
Practice Address - Country:US
Practice Address - Phone:718-504-9256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1006021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical