Individual provider Active NPI

Julia Humphries, LCSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1083930994
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007283 Issued in CT
Practice address
431 Post Rd E
Ste 14
Westport, CT 06880-4403
Phone
(203) 554-0740
NPI assigned
Apr 16, 2010
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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 007283 CT Primary

Addresses

Primary practice location

431 Post Rd E
Ste 14
Westport, CT 06880-4403

Mailing address

99 Carol St
Danbury, CT 06810-8310
Phone (203) 554-0740

Other identifiers 2

IdentifierTypeStateIssuer
004039244MedicaidCT
387891OtherCTMHN

Other names 1

  • Julia Flemma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20160924000386 CT Practitioner - Clinical Social Worker 6901193556 Practice locations: Westport, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

431 Post Rd E
Suite 14
Westport, CT 06880-4403
Phone (203) 554-0740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007283CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut PastSince Jul 2, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1083930994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CAROL ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068108310",
            "telephone_number": "203-554-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 POST RD E",
            "address_2": "STE 14",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804403",
            "telephone_number": "203-554-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "JULIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004039244",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "387891",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "FLEMMA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.