Provider Demographics
NPI:1912749664
Name:KIRKPATRICK, JULIA (LCSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:KIRKPATRICK
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 1:307 ABBOTT RUN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-3254
Mailing Address - Country:US
Mailing Address - Phone:401-490-1632
Mailing Address - Fax:
Practice Address - Street 1:1525 OLD LOUISQUISSET PIKE STE B104
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4518
Practice Address - Country:US
Practice Address - Phone:401-389-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical