Organization Name: | JULIA L. ISRAELSKI, LCSW, LLC |
NPI Number: | 1174872535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIA ISRAELSKI (LICENSED CLINICAL SOCIAL WORKER) |
Mailing Address: | 954 Middlesex Tpke Suite A2 Old Saybrook |
State: | CT US |
Postal Code: | 064751302 |
Phone Number: | 8605758074 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |