Provider Demographics
NPI:1134719404
Name:KASSMAN, JULIA ELIZABETH
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:KASSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 EVENING SHADOWS CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1543
Mailing Address - Country:US
Mailing Address - Phone:443-878-7217
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:6509 EVENING SHADOWS CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1543
Practice Address - Country:US
Practice Address - Phone:443-878-7217
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040179521041C0700X
COCSW.099276441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical