Active NPIIndividual provider

Julia Nedry, LICSW

Social Worker, Clinical in Southampton, Massachusetts

NPI Number1407191240
Practice location
17 Gunn RD Ext Apt C, Southampton, MA 01073-9648
Fax
—
Last updated
November 12, 2020

Julia Nedry is a Social Worker, Clinical based in Southampton, MA. Julia Nedry practices in Southampton, MA and has the professional credentials of LICSW. The NPI Number for Julia Nedry is 1407191240 and holds a License No. ISW02259 (RI). The current practice location address for Julia Nedry is 17 Gunn RD Ext Apt C, Southampton, MA 01073-9648 and can be reached out via phone at 714-318-9235.

Provider Profile Details

NPI Number
1407191240
Provider Name
Julia Nedry
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
17 Gunn RD Ext Apt C, Southampton, MA 01073-9648
Phone Number
714-318-9235
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2012
Last Update Date
November 12, 2020
Certification Date
November 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Gunn RD Ext Apt C
Southampton, MA 01073-9648
Zip
01073-9648
Phone Number
714-318-9235
Southampton, MA 01073Get directions →

Provider Business Mailing Address Details

Address
17 Gunn RD Ext Apt C
Southampton, MA 01073-9648
City
Southampton
State
MA
Zip
01073-9648
Phone Number
714-318-9235

License Information

License Number (1)
ISW02259
License State (1)
RI
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
117132
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Julia Nedry, LICSW?

The NPI number of Julia Nedry, LICSW is 1407191240. It was assigned on December 5, 2012 and is currently active in the NPPES registry.

What is the specialty of Julia Nedry, LICSW?

Julia Nedry, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW02259.

Where does Julia Nedry, LICSW practice?

The practice location is 17 Gunn RD Ext Apt C, Southampton, MA 01073-9648. The office can be reached at 714-318-9235 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407191240 directly on the NPPES registry website.

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