Individual provider Active NPI

Julie Louise Stoneham, LCSW

  • Clinical Social Worker
  • Lady Lake, FL
National Provider Identifier
1114279684
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14448 Issued in FL
Practice address
13940 N US Highway 441 Ste 210
Lady Lake, FL 32159-8909
Phone
(352) 374-3222
Fax
(352) 268-1168
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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 SW14448 FL Primary

Addresses

Primary practice location

13940 N US Highway 441 Ste 210
Lady Lake, FL 32159-8909

Mailing address

15230 SE 105TH Ave
Summerfield, FL 34491-4618
Phone (919) 946-0143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181119000733 FL Practitioner - Clinical Social Worker 0547561979 Reassigns benefits to 1 organization
Practice locations: The Villages, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13940 N US Hwy 441
Suite 210
The Villages, FL 32159-8909
Phone (919) 946-0143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Assessment and Counseling Inc Clinical CurrentSince Aug 24, 2018 Accepting new patients
Serenity Hope Consulting Services Inc CurrentSince Sep 8, 2019 Accepting new patients

Locations

13940 N US Highway 441
Ste 210
The Villages, FL 32159
Phone (352) 374-3222

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1114279684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 SE 105TH AVE",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914618",
            "telephone_number": "919-946-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 N US HIGHWAY 441 STE 210",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598909",
            "telephone_number": "352-374-3222",
            "fax_number": "352-268-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEHAM",
        "first_name": "JULIE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.