Healthcare Provider Details

I. General information

NPI: 1629590351
Provider Name (Legal Business Name): JULIA RACHEL WOLF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 E LAKE AVE
WATSONVILLE CA
95076-4424
US

IV. Provider business mailing address

411 E LAKE AVE
WATSONVILLE CA
95076-4424
US

V. Phone/Fax

Practice location:
  • Phone: 831-279-3864
  • Fax: 831-724-4251
Mailing address:
  • Phone: 831-279-3864
  • Fax: 831-724-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: