Organization Active NPI

Julie Feld and Associates LLC

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1053450015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3704-123 Issued in WI
Legal business name
JULIE FELD AND ASSOCIATES LLC
Practice address
120 S Webster Ave
Green Bay, WI 54301-4438
Phone
(920) 884-8138
Fax
(920) 884-8148
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie Feld
Title
President
Phone
(920) 884-8138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3704-123 WI Primary

Addresses

Primary practice location

120 S Webster Ave
Green Bay, WI 54301-4438

Mailing address

120 S Webster Ave
Green Bay, WI 54301-4438
Phone (920) 884-8138

Other identifiers 1

IdentifierTypeStateIssuer
42238500MedicaidWI

National Provider Directory

National Provider Directory

Locations

120 S Webster Ave
Green Bay, WI 54301
Phone (920) 884-8138

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053450015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014438",
            "telephone_number": "920-884-8138",
            "fax_number": "920-884-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014438",
            "telephone_number": "920-884-8138",
            "fax_number": "920-884-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE FELD AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-884-8138"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3704-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42238500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.