MEDICARE: JULIA NEWBURY MSW, LCSW

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	7435	KY
2	1041C0700X	Clinical Social Worker	150.101617	IL
3	1041C0700X	Clinical Social Worker	149.020078	IL

General Provider Information

NPI Number	:	1992162713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA NEWBURY MSW, LCSW

Provider Business Mailing Address
First Line	:	159 N SANGAMON ST STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2201
Country	:	US
Telephone Number	:	317-331-5013
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 W BRIAR PL STE 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-4560
Country	:	US
Telephone Number	:	317-331-5013
Fax Number	:

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

Provider Enumeration Date	:	01/25/2016
Last Update Date	:	09/14/2023

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