Individual provider Active NPI

Julie Barbara Lester, LICSW

  • Clinical Social Worker
  • Walla Walla, WA
National Provider Identifier
1124459748
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KW60698751 Issued in WA
Practice address
30 West Main St. #305
Walla Walla, WA 99362
Phone
(509) 240-0135
Fax
(509) 847-0156
NPI assigned
Dec 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 603348205 WA
Clinical Social Worker 1041C0700X KW60698751 WA Primary

Addresses

Primary practice location

30 West Main St. #305
Walla Walla, WA 99362

Mailing address

30 West Main St. #305 W
Walla Walla, WA 99362
Phone (509) 240-0135

Other identifiers 1

IdentifierTypeStateIssuer
2076268MedicaidWA

Other names 1

  • Mrs. Julie Barbara Case Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
603348205WAMDMental Health Counselor
KW60698751WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Julie B. Lester Licsw LLC Clinical CurrentSince Dec 15, 2024 Accepting new patients

Locations

30 W Main St
Ste 305
Walla Walla, WA 99362
Phone (509) 240-0135

Organizations & group practices 1

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": "1386374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1124459748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WEST MAIN ST. #305 W",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "509-240-0135",
            "fax_number": "509-847-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST MAIN ST. #305",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "509-240-0135",
            "fax_number": "509-847-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "JULIE",
        "middle_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-07",
        "last_updated": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "603348205",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "KW60698751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076268",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CASE",
            "middle_name": "BARBARA",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.