Julie Ann Austin, LCSW
Individual provider Active NPI Clinical Social Worker · Eagle, ID
NPI 1124207329 · NPPES record last updated Sep 4, 2012
Key facts
- NPI
- 1124207329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW- 1070 (ID)
- Practice address
- 961 E Thunderbird CT
Eagle, ID 83616-4188 - Phone
- (208) 919-0988
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW- 1070 | ID | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW- 1070 | ID | Yes |
Addresses
Primary practice location
961 E Thunderbird CT
Eagle, ID 83616-4188
Mailing address
3525 East Louise Dr., Suite 500
Meridian, ID 83642
Phone (208) 706-7053
Other providers in Eagle, ID
- Sydney Geneva Anglea
- Vespera Aragon
- Ashley Manor, LLC
- Ashley Manor, LLC
- Kevin Asplund
- Axiom Medical, LLC
- Andrea D Axtell
- Marcela Azevedo
- Patricia Babendure
- Shaunna Bach
All providers in Eagle, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.