MEDICARE: MS. JULIA RUTH CALNAN LICSW

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	116626	MA
2	1041C0700X	Clinical Social Worker	116626	MA

General Provider Information

NPI Number	:	1649418898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIA RUTH CALNAN LICSW

Provider Business Mailing Address
First Line	:	99 TOPEKA ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-2717
Country	:	US
Telephone Number	:	617-442-1499
Fax Number	:	617-442-1660

Provider Business Practice Location Address
First Line	:	1153 CENTRE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-3446
Country	:	US
Telephone Number	:	617-983-7060
Fax Number	:

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

Provider Enumeration Date	:	01/27/2009
Last Update Date	:	01/20/2026

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