Provider Demographics
NPI:1902970049
Name:TROJER, GIULIA MARTINA (LCSW)
Entity Type:Individual
Prefix:
First Name:GIULIA
Middle Name:MARTINA
Last Name:TROJER
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 1:12207 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-2211
Mailing Address - Country:US
Mailing Address - Phone:347-804-8277
Mailing Address - Fax:516-916-7821
Practice Address - Street 1:12207 20TH AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-2211
Practice Address - Country:US
Practice Address - Phone:347-804-8277
Practice Address - Fax:516-916-7821
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070922104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN6Q551Medicare ID - Type UnspecifiedMENTAL HEALTH PROVIDER ID
G 300023148Medicare PIN