Individual provider Active NPI

Julia Lee Childers, LCSW

  • Clinical Social Worker
  • Newton, NC
National Provider Identifier
1124246772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001926 Issued in NC
Practice address
2684 Dublin LN
Newton, NC 28658-8701
Phone
(828) 465-7005
Fax
(828) 695-1800
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C001926 NC Primary

Addresses

Primary practice location

2684 Dublin LN
Newton, NC 28658-8701

Mailing address

2684 Dublin LN
Newton, NC 28658-8701
Phone (828) 465-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071211000518 NC Practitioner - Clinical Social Worker 7911096185 Reassigns benefits to 1 organization
Practice locations: Newton, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Newton, NC 28658
Phone (828) 695-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C001926NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Solutions, LLC Clinical CurrentSince Jun 1, 2018 Accepting new patients
Gates Health Care, Inc. Past Accepting new patients

Locations

110 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 358-1110

2359 US Highway 70 SE
Hickory, NC 28602
Phone (828) 358-1110

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124246772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2684 DUBLIN LN",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588701",
            "telephone_number": "828-465-7005",
            "fax_number": "828-695-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2684 DUBLIN LN",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588701",
            "telephone_number": "828-465-7005",
            "fax_number": "828-695-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "JULIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.