Healthcare Provider Details

I. General information

NPI: 1306447966
Provider Name (Legal Business Name): JULIANA PEPAJ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52585 DEQUINDRE RD
ROCHESTER HILLS MI
48307-2321
US

IV. Provider business mailing address

1867 DEER PATH TRL
OXFORD MI
48371-6061
US

V. Phone/Fax

Practice location:
  • Phone: 347-369-9053
  • Fax:
Mailing address:
  • Phone: 347-369-9053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801122606
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number109853
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: