MEDICARE: MS. JULIE ANN BEHILL MSW, 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	LCSW110271	CA

General Provider Information

NPI Number	:	1396259776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE ANN BEHILL MSW, LCSW

Provider Business Mailing Address
First Line	:	604 OLIVE SPRINGS RD
Second Line	:
City	:	SOQUEL
State	:	CA
Zip	:	95073-9649
Country	:	US
Telephone Number	:	831-476-7557
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 OLIVE SPRINGS RD
Second Line	:
City	:	SOQUEL
State	:	CA
Zip	:	95073-9649
Country	:	US
Telephone Number	:	831-476-9557
Fax Number	:

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

Provider Enumeration Date	:	11/21/2017
Last Update Date	:	01/29/2024

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