Active NPI
Julie Ann Mowatt, L.C.S.W.
- Clinical Social Worker
- Jacksonville, OR
National Provider Identifier
1093903809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L3858
- Practice address
- 933 N 5TH St
#C
Jacksonville, OR 97530-9016 - Phone
- (541) 245-4446
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L3858 | OR | Primary |
Addresses
Primary practice location
933 N 5TH St
#C
Jacksonville, OR 97530-9016
Mailing address
2079 Knowles Rd
Medford, OR 97501-9530
Phone (541) 245-4446
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11680 | CA | MD | Mental Health Counselor |
| L3858 | OR | MD | Clinical Social Worker |
| 3858 | OR | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1093903809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 KNOWLES RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975019530",
"telephone_number": "541-245-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 N 5TH ST",
"address_2": "#C",
"city": "JACKSONVILLE",
"state": "OR",
"postal_code": "975309016",
"telephone_number": "541-245-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWATT",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L3858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.