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NPI Code Detail

MEDICARE: MS. JULIE ELWELL LCSW-C

MEDICARE: MS. JULIE ELWELL LCSW-C
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
11041C0700XClinical Social Worker30535MD

General Provider Information

NPI Number : 1679855183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE ELWELL LCSW-C
Provider Business Mailing Address
First Line : 5100 BUCKEYSTOWN PIKE STE 250
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8344
Country : US
Telephone Number : 202-236-2079
Fax Number :
Provider Business Practice Location Address
First Line : 5100 BUCKEYSTOWN PIKE STE 250
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8344
Country : US
Telephone Number : 202-236-2079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 11/08/2023

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