MEDICARE: JULIANA A CANAS BAENA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904018384	VA

General Provider Information

NPI Number	:	1093536690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANA A CANAS BAENA LCSW

Provider Business Mailing Address
First Line	:	PO BOX 749112
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9112
Country	:	US
Telephone Number	:	434-295-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 SEMINOLE LN STE 100
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-8395
Country	:	US
Telephone Number	:	434-297-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	02/11/2026

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Directions to “ JULIANA A CANAS BAENA LCSW” Practice Location

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