Healthcare Provider Details

I. General information

NPI: 1932015781
Provider Name (Legal Business Name): JULIA LYNN CASSIDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CONGRESS STREET
SALEM MA
01970
US

IV. Provider business mailing address

19 LEDGEMONT AVE
GLOUCESTER MA
01930-2909
US

V. Phone/Fax

Practice location:
  • Phone: 978-238-1870
  • Fax:
Mailing address:
  • Phone: 978-729-6184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: