Julie Tina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008950 Issued in NC

Practice address

409 S Oakland St
Gastonia, NC 28052-4312

Phone

(704) 874-9005

Fax

(704) 874-9001

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1104228675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E SECOND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904",
            "fax_number": "704-867-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S OAKLAND ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524312",
            "telephone_number": "704-874-9005",
            "fax_number": "704-874-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINA",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Walser Thrower, PHARMD
• Donald Ray Thrower, RPH
• Christopher Kyle Tietsort, QUALIFIED PROFESSION
• Shanaira Nicole Tigler, FNP-C
• Benson Ellison Lane Timmons IV, MD
• Caroline Sylvia Tindall, LCSWA
• Lauren Titcher
• TLC Group, LLC
• TLC Telehealth Services, LLC
• Dawn Valencia Tobias-Bedenbaugh, BSW

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.