MEDICARE: JULIA SCALES 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	0904014495	VA

General Provider Information

NPI Number	:	1659098895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA SCALES LCSW

Provider Business Mailing Address
First Line	:	213 S JEFFERSON ST STE 1006
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24011-1713
Country	:	US
Telephone Number	:	540-224-5516
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 JEFFERSON ST SW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24014-2419
Country	:	US
Telephone Number	:	540-853-0012
Fax Number	:	540-982-3908

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

Provider Enumeration Date	:	10/27/2022
Last Update Date	:	03/25/2026

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