Julianne Morris Vidaver, MSW, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1029399 Issued in MA

Practice address

219 Washington St
Wellesley, MA 02481-3105

Phone

(781) 431-2277

Fax

(781) 431-7770

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1033364401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813105",
            "telephone_number": "781-431-2277",
            "fax_number": "781-431-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813105",
            "telephone_number": "781-431-2277",
            "fax_number": "781-431-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAVER",
        "first_name": "JULIANNE",
        "middle_name": "MORRIS",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1029399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashok Venkat, DPM
• Charles G Verge, PH.D.
• Village Dental of New England PLLC
• Richelle Villalona
• Santiago Julio Villazon Jr., M.D.
• Vim Medicine
• Carl Virusso, DC

• Mental Health Counselor in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.