Healthcare Provider Details

I. General information

NPI: 1881992774
Provider Name (Legal Business Name): JULIE CHRISTINE FRANKLIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 N BLACKHAWK AVE
MADISON WI
53705-3357
US

IV. Provider business mailing address

412 OLD INDIAN TRL
DEFOREST WI
53532-1045
US

V. Phone/Fax

Practice location:
  • Phone: 608-238-9991
  • Fax:
Mailing address:
  • Phone: 608-279-4789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8163-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: