David Charles Juelfs, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149006937 Issued in IL

Practice address

2014 Vandalia St
Collinsville, IL 62234-4848

Phone

(618) 345-9536

NPI assigned

Jan 19, 2018

Last updated

Jan 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A Balanced Perspective Counseling LLC

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1154806644
  NPD (past) Authorized official
• Family Life Consultants, Inc

  • Psychologist
  • Collinsville, IL
  • NPI 1164532248
  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1083122352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 ROSEBERRY DR",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622986069",
            "telephone_number": "618-604-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 VANDALIA ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344848",
            "telephone_number": "618-345-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUELFS",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.006937",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Forhetz PHD
• Johnnie Faye Johnson, MEDICAL ASSISTANT
• Janae Cambriel Jones, PTA
• Shonika Deneen Jones
• Ryan A Jouett, LCPC, LPC
• Kathyrn Renee Karouzos, M.S., L.P.C.
• Adam David Kellen, PHARMD
• Kenneth S. Kollmann, D.M.D.,P.C.
• Curtis Knolhoff
• Tatiana M Kokotovich

• Clinical Social Worker in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.