Healthcare Provider Details

I. General information

NPI: 1669277745
Provider Name (Legal Business Name): JULIANA ROSE LUNA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 KENDON PL
YONKERS NY
10710-1305
US

IV. Provider business mailing address

418 S 4TH ST # 1R
BROOKLYN NY
11211-6501
US

V. Phone/Fax

Practice location:
  • Phone: 914-837-2346
  • Fax:
Mailing address:
  • Phone: 914-837-2346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102070
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: