Healthcare Provider Details

I. General information

NPI: 1225147473
Provider Name (Legal Business Name): JULIA BERNADETTE SEWELL LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY VA PUGET SOUND HEALTH CARE SYSTEM, MAIL STOP S-116
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

1660 SOUTH COLUMBIAN WAY VA PUGET SOUND HEALTH CARE SYSTEM, MAIL STOP S-116
SEATTLE WA
98101-1595
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-1816
  • Fax: 206-764-2293
Mailing address:
  • Phone: 206-277-1816
  • Fax: 206-764-2293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00006493
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: