Provider Demographics
NPI:1699953299
Name:SCHNEIDER, JULIA (LICSW MSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LICSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ALDERSEY STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-1808
Mailing Address - Country:US
Mailing Address - Phone:617-625-3164
Mailing Address - Fax:
Practice Address - Street 1:14 ALDERSEY STREET
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-1808
Practice Address - Country:US
Practice Address - Phone:617-625-3164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1029741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical