Provider Demographics
NPI:1487728549
Name:LEWICKI, JULIE ELIZABETH (LCSW, RPT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ELIZABETH
Last Name:LEWICKI
Suffix:
Gender:F
Credentials:LCSW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5811
Mailing Address - Country:US
Mailing Address - Phone:302-531-0763
Mailing Address - Fax:
Practice Address - Street 1:1991 S STATE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-5811
Practice Address - Country:US
Practice Address - Phone:302-531-0763
Practice Address - Fax:302-531-0763
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00006161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000021591Medicaid
DE1000021591Medicaid