Provider Demographics
NPI:1699948554
Name:DELUCCY, JULIE (LCSW, LCADC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:DELUCCY
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RIDGEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4266
Mailing Address - Country:US
Mailing Address - Phone:609-902-0636
Mailing Address - Fax:609-614-2726
Practice Address - Street 1:54 RIDGEWOOD WAY
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4266
Practice Address - Country:US
Practice Address - Phone:609-902-0636
Practice Address - Fax:609-474-6763
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00155300101YA0400X
NJ44SC053474001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ524926ZWBNMedicare UPIN