National Provider Identifier

Julie Ann St. John

Julie Ann St. John is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Bowmansville, NY and a listed phone number of (716) 681-5077.

NPI 1720117500Bowmansville, NYClinical Social Worker

Profile Overview

NPI
1720117500
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 05, 2007
Last Updated
August 19, 2015

Practice Location

  • 5360 Genessee Street
  • Bowmansville, NY 14026-1044

Phone: (716) 681-5077

Mailing Address

  • 1526 Walden Avenue
  • Suite 400
  • Cheektowaga, NY 14225-4985

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1720117500
Entity Type
Individual
Last Name
St. John
First Name
Julie
Middle Name
Ann
Name Prefix
Mrs.
Provider Other Last Name
Jezerski
Provider Other First Name
Julie
Provider Other Middle Name
Ann
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
1526 Walden Avenue
Mailing Address Line 2
Suite 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4985
Mailing Country
US
Mailing Phone
(716) 895-7167
Mailing Fax
(716) 332-4488
Practice Street Address
5360 Genessee Street
Practice City
Bowmansville
Practice State
NY
Practice ZIP Code
14026-1044
Practice Country
US
Practice Phone
(716) 681-5077
Practice Fax
(716) 681-5079
Enumeration Date
March 05, 2007
Last Updated
August 19, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)