Julia Marie Weller
Individual provider Active NPI Clinical Social Worker · Kawkawlin, MI
NPI 1114535796 · NPPES record last updated Jul 20, 2020
Key facts
- NPI
- 1114535796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6802090879 (MI)
- Practice address
- 1961 Parish Rd
Kawkawlin, MI 48631-9459 - Phone
- (989) 895-2300
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802090879 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay-Arenac Behavioral Health | Current |
Accepting new patients |
Locations
1961 Parish Rd
Kawkawlin, MI 48631
Phone (989) 684-2531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6802090879 | MI | Yes |
Addresses
Primary practice location
1961 Parish Rd
Kawkawlin, MI 48631-9459
Mailing address
1961 Parish Rd
Kawkawlin, MI 48631-9459
Other providers in Kawkawlin, MI
- D'Aundra Stokes
- Lara Beth Sullivan
- Kathleen Marie Ursuy
- Kelsey Renee Vittitow
- Holli Vogel
- Kristy Dukarski Zagata
All providers in Kawkawlin, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.