| Julia Clowney, Licsw, Llc | |
|
366 Selby Ave Suite 200 Saint Paul MN 55102-1880 | |
| (651) 253-8896 | |
| Not Available |
| Full Name | Julia Clowney, Licsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 366 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Julia Clowney (OWNER) |
| Authorized Official Contact | 6512538896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Clowney, Licsw, Llc 366 Selby Ave Suite 200 Saint Paul MN 55102-1880 Ph: (651) 253-8896 | Julia Clowney, Licsw, Llc 366 Selby Ave Suite 200 Saint Paul MN 55102-1880 Ph: (651) 253-8896 |
| NPI Number | 1194117473 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Medicare PECOS PAC ID | 7416252994 |
|---|---|
| Medicare Enrollment ID | O20160222000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194117473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18728 (Minnesota) | Primary |
| Provider Name | Julia R Clowney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841472396 PECOS PAC ID: 1254413222 Enrollment ID: I20080129000805 |
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