Provider Demographics
NPI:1992162713
Name:NEWBURY, JULIA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:NEWBURY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:WOODSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW,LCSW
Mailing Address - Street 1:159 N SANGAMON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2201
Mailing Address - Country:US
Mailing Address - Phone:317-331-5013
Mailing Address - Fax:
Practice Address - Street 1:611 W BRIAR PL STE 5
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-4560
Practice Address - Country:US
Practice Address - Phone:317-331-5013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY74351041C0700X
IL150.1016171041C0700X
IL149.0200781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical