| Julie Spears, Lcsw, Llc | |
|
4422 Pack Saddle Pass Suite 103 Austin TX 78745-1681 | |
| (512) 497-4782 | |
| Not Available |
| Full Name | Julie Spears, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4422 Pack Saddle Pass, Austin, Texas |
| Authorized Official Name and Position | Julie Spears (OWNER) |
| Authorized Official Contact | 5124974782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Spears, Lcsw, Llc 706 W Ben White Blvd Ste 180 Austin TX 78704-8124 Ph: (512) 497-4782 | Julie Spears, Lcsw, Llc 4422 Pack Saddle Pass Suite 103 Austin TX 78745-1681 Ph: (512) 497-4782 |
| NPI Number | 1326592296 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Medicare PECOS PAC ID | 6709299407 |
|---|---|
| Medicare Enrollment ID | O20210119000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326592296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 36349 (Texas) | Primary |
| Provider Name | Julie L Spears |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619154044 PECOS PAC ID: 4789957408 Enrollment ID: I20170831001680 |
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