Individual provider Active NPI

Julia Williams, LCSW

  • Clinical Social Worker
  • Key Largo, FL
National Provider Identifier
1124480843
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15790 Issued in FL
Practice address
44 Hibiscus LN
Key Largo, FL 33037-4545
Phone
(305) 395-2113
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 SW15790 FL Primary

Addresses

Primary practice location

44 Hibiscus LN
Key Largo, FL 33037-4545

Mailing address

44 Hibiscus LN
Key Largo, FL 33037-4545
Phone (305) 395-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190312001677 FL Practitioner - Clinical Social Worker 0547509432 Reassigns benefits to 2 organizations
I20211025000877 TX Practitioner - Clinical Social Worker 0547509432 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105963TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 3, 2025 Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Interoperability endpoints

  • Direct secure messaging: julia.williams.1@23300.direct.athenahealth.com

Organizations & group practices 4

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1124480843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HIBISCUS LN",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374545",
            "telephone_number": "305-395-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HIBISCUS LN",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374545",
            "telephone_number": "305-395-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JULIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

Verify at the official NPI Registry.