Healthcare Provider Details

I. General information

NPI: 1407464019
Provider Name (Legal Business Name): JULIA A FELDMAN LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 CRAMER CREEK CT
DUBLIN OH
43017-2586
US

IV. Provider business mailing address

299 CRAMER CREEK CT
DUBLIN OH
43017-2586
US

V. Phone/Fax

Practice location:
  • Phone: 614-889-5722
  • Fax: 614-889-8933
Mailing address:
  • Phone: 614-889-5722
  • Fax: 614-889-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2304202
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: