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NPI Code Detail

MEDICARE: MS. JULIA MARIA LUCIA DI GIACOMO, LCSW LCSW

MEDICARE:  MS. JULIA MARIA LUCIA DI GIACOMO, LCSW  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
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker089855NY

General Provider Information

NPI Number : 1356931638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIA MARIA LUCIA DI GIACOMO, LCSW LCSW
Provider Business Mailing Address
First Line : 7606 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2412
Country : US
Telephone Number : 718-232-8600
Fax Number :
Provider Business Practice Location Address
First Line : 7606 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2412
Country : US
Telephone Number : 718-232-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2021
Last Update Date : 05/25/2021

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Directions to “ MS. JULIA MARIA LUCIA DI GIACOMO, LCSW LCSW” Practice Location

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