Individual provider Active NPI

Julie Kristin Flint, MSW, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1053627455
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18391 Issued in MN
Practice address
306 W Superior St
500 Alworth Building
Duluth, MN 55802-1803
Phone
(218) 722-6106
Fax
(218) 722-8356
NPI assigned
Aug 23, 2010
Last updated
Aug 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18391 MN Primary

Addresses

Primary practice location

306 W Superior St
500 Alworth Building
Duluth, MN 55802-1803

Mailing address

306 W Superior St
500 Alworth Building
Duluth, MN 55802-1803
Phone (218) 722-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18391MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1053627455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST",
            "address_2": "500 ALWORTH BUILDING",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021803",
            "telephone_number": "218-722-6106",
            "fax_number": "218-722-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST",
            "address_2": "500 ALWORTH BUILDING",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021803",
            "telephone_number": "218-722-6106",
            "fax_number": "218-722-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "JULIE",
        "middle_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.