Individual provider Active NPI

Julie Christine Rickman, LMSW

  • Social Worker
  • Mesa, AZ
National Provider Identifier
1053951798
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-13012 Issued in AZ
Practice address
152 N Power Rd Ste 1
Mesa, AZ 85205-8436
Phone
(480) 579-3910
Fax
(480) 452-1448
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-13012 AZ Primary

Addresses

Primary practice location

152 N Power Rd Ste 1
Mesa, AZ 85205-8436

Mailing address

2652 E Los Alamos CT
Gilbert, AZ 85295-9044
Phone (602) 463-3751

Other identifiers 1

IdentifierTypeStateIssuer
1598255036MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrickman@appleblossomecounseling.com Direct

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
LMSW-13012AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Blossom Counseling, LLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

152 N Power Rd
Ste 1
Mesa, AZ 85205
Phone (480) 579-3910

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1053951798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 E LOS ALAMOS CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852959044",
            "telephone_number": "602-463-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N POWER RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058436",
            "telephone_number": "480-579-3910",
            "fax_number": "480-452-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "JULIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-13012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598255036",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrickman@appleblossomecounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "152 N Power Rd Ste 1",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852058436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.