Healthcare Provider Details

I. General information

NPI: 1184402125
Provider Name (Legal Business Name): JULIA CASALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: J CASALE

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 HUNTINGTON AVE FL 14
BOSTON MA
02115-3134
US

IV. Provider business mailing address

177 HUNTINGTON AVE FL 14
BOSTON MA
02115-3134
US

V. Phone/Fax

Practice location:
  • Phone: 888-572-0795
  • Fax: 978-496-8771
Mailing address:
  • Phone: 888-572-0795
  • Fax: 978-496-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW229503
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: