Provider Demographics
NPI:1659069755
Name:CARUSO, JULIA SOPHIA (LICSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:SOPHIA
Last Name:CARUSO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4499
Mailing Address - Country:US
Mailing Address - Phone:508-816-2169
Mailing Address - Fax:
Practice Address - Street 1:1 MEADOWBROOK WAY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2496
Practice Address - Country:US
Practice Address - Phone:781-302-6276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1273431041C0700X
MAS2265581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical