Basic Information
| Provider Information | |||||||||
| NPI: | 1497067375 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FEENEY | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2004 DORCHESTER AVE | ||||||||
| Address2: | APT 1 | ||||||||
| City: | DORCHESTER CENTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021244703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5733550891 | ||||||||
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| Practice Location | |||||||||
| Address1: | 780 AMERICAN LEGION HIGHWAY | ||||||||
| Address2: | THE HOME FOR LITTLE WANDERERS | ||||||||
| City: | ROSLINDALE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174698557 | ||||||||
| FaxNumber: | 6174698560 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2010 | ||||||||
| LastUpdateDate: | 07/08/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 215977 | MA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.