Healthcare Provider Details

I. General information

NPI: 1942557764
Provider Name (Legal Business Name): JULIE FEUER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 ALAMEDA DE LAS PULGAS STE 200
SAN MATEO CA
94403-1293
US

IV. Provider business mailing address

2000 ALAMEDA DE LAS PULGAS STE 200
SAN MATEO CA
94403-1293
US

V. Phone/Fax

Practice location:
  • Phone: 732-233-3419
  • Fax:
Mailing address:
  • Phone: 732-233-3419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28747
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number078859
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: