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Julie Walls

Social Worker

Behavioral Health & Social Service Providers

732 Thimble Shoals Blvd. Suite 702, Newport News, VA 23606-2612

PECOS Enrollment

Based on the most recent information from CMS, provider Julie Walls does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1063624575
Provider Type
Individual
Full Name
Walls, Julie
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/4/2007
Last Updated
7/8/2007

Contact Information

Practice Location

732 Thimble Shoals Blvd. Suite 702, Newport News, VA 23606-2612

(757) 761-4755

(757) 873-4915

Mailing Location

732 Thimble Shoals Blvd. Suite 702, Newport News, VA 23606-2612

(757) 761-4755

(757) 873-4915

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0904001228 Virginia

Provider Identifiers

ID	Description	Issuer
ID 8907277	Description Medicaid	Issuer Unlisted Virginia

Julie Walls

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Williams, Tamara Lynn

Lauzon, Valerie

Persons, Kathryn Jane

Garland, Desaray

Leaphart, Dana Olivia

Dandridge, Nicole Latrice

Lee, Keona

Allen, Alison Ohsol

Seusy, Brent

Franklin, Nina