Healthcare Provider Details

I. General information

NPI: 1932129376
Provider Name (Legal Business Name): JULIA THOMAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 FOXTAIL LN
BRIDGETON NJ
08302-6864
US

IV. Provider business mailing address

62 FOXTAIL LN
BRIDGETON NJ
08302-6864
US

V. Phone/Fax

Practice location:
  • Phone: 302-463-3883
  • Fax: 999-999-9999
Mailing address:
  • Phone: 302-463-3883
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SC05260400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: