Provider Demographics
NPI:1548320427
Name:ORR, JULIA LAURENSON (LCSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:LAURENSON
Last Name:ORR
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 1:20 CHEVERUS RD
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-1204
Mailing Address - Country:US
Mailing Address - Phone:207-767-6010
Mailing Address - Fax:
Practice Address - Street 1:17 MALLISON FALLS RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4101
Practice Address - Country:US
Practice Address - Phone:207-893-7142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC87671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical