Healthcare Provider Details

I. General information

NPI: 1083928618
Provider Name (Legal Business Name): JULIE YERKOVICH LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ANN BUCHANAN

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 WHITE WILLOW WAY
MORGANTOWN WV
26505-6119
US

IV. Provider business mailing address

100 NEW SALEM RD STE 116
UNIONTOWN PA
15401-8936
US

V. Phone/Fax

Practice location:
  • Phone: 304-513-3495
  • Fax:
Mailing address:
  • Phone: 724-437-0729
  • Fax: 724-437-2761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW137807
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW137807
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBP00945818
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: