Healthcare Provider Details
I. General information
NPI: 1396497145
Provider Name (Legal Business Name): JULIAN POWER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/24/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
171 DWIGHT RD STE 203
LONGMEADOW MA
01106-1768
US
IV. Provider business mailing address
80 DAMON RD APT 4101
NORTHAMPTON MA
01060-1837
US
V. Phone/Fax
- Phone: 413-200-8024
- Fax:
- Phone: 860-539-9152
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | LCSW2141528 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: