MEDICARE: JULIE MARKOWITZ

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	1041C0700X	Clinical Social Worker	108011	CA
2	1041C0700X	Clinical Social Worker	093535	NY

General Provider Information

NPI Number	:	1871079749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MARKOWITZ

Provider Business Mailing Address
First Line	:	415 LAUREL ST # 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 LAUREL ST # 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1605
Country	:	US
Telephone Number	:	302-893-4825
Fax Number	:

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

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	02/28/2024

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Directions to “ JULIE MARKOWITZ ” Practice Location

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