Julie M Reilly, L.I.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

00652 Issued in IA

Practice address

1523 S Bluff Blvd
Clinton, IA 52732-6549

Phone

(563) 243-6054

Fax

(563) 243-6828

NPI assigned

Feb 19, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 IA

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Wellness Center LLCGroup PAC ID 1052380813, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Wellness Center LLC

  • Mental Health Counselor
  • Clinton, IA
  • NPI 1730292996
  Medicare reassignment Care Compare group NPD
• Excelsior Ranch

  • Mental Health Occupational Therapist
  • Princeton, IA
  • NPI 1306638119
  NPD

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083758379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054",
            "fax_number": "563-243-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054",
            "fax_number": "563-243-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quest Diagnostics LLC Il
• Rebeccah Quintana
• John Paul Ramser
• Randy R Robinson PC
• Qaiser Rasheed, MD
• Megan Beth Reinhart, AGACNP-BC
• Pennee Reyman, NCC
• Rachel R Riedesel, ARNP
• Theresa Rieger
• Stephanie Rinzel

• Social Worker in Clinton, IA
• Providers in Clinton, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.