MEDICARE: JULIETT F ST. LOUIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	119179	NY
2	1041C0700X	Clinical Social Worker	MSW012353	GA
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	104100000X	Social Worker	227393	MA
5	1041C0700X	Clinical Social Worker	LICSW127790	MA
6	390200000X	Student in an Organized Health Care Education/Training Program
7	390200000X	Student in an Organized Health Care Education/Training Program		AR

General Provider Information

NPI Number	:	1205272432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIETT F ST. LOUIS

Provider Business Mailing Address
First Line	:	8 KILBURN ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-7321
Country	:	US
Telephone Number	:	508-979-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 KILBURN ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-7321
Country	:	US
Telephone Number	:	508-979-1122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	01/20/2026

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Directions to “ JULIETT F ST. LOUIS ” Practice Location

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