Healthcare Provider Details

I. General information

NPI: 1356529408
Provider Name (Legal Business Name): MATTHEW EARL JULIAN MSW, CAPSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W WASHINGTON AVE STE 100
MADISON WI
53703-2996
US

IV. Provider business mailing address

345 W WASHINGTON AVE STE 100
MADISON WI
53703-2996
US

V. Phone/Fax

Practice location:
  • Phone: 608-516-1322
  • Fax:
Mailing address:
  • Phone: 608-516-1322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8010-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: