Provider Demographics
NPI:1366596074
Name:WEI, JULIE E (LCSW)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:E
Last Name:WEI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GATESHEAD RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2810
Mailing Address - Country:US
Mailing Address - Phone:303-518-3880
Mailing Address - Fax:
Practice Address - Street 1:14 GATESHEAD RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2810
Practice Address - Country:US
Practice Address - Phone:303-518-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC9889101YM0800X
CO3641041C0700X
NY0885401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431833499Medicaid