Individual provider Active NPI

Julson Fabien, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1124672241
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094418 Issued in NY
Practice address
1133 E 224TH St
Bronx, NY 10466-5834
Phone
(347) 939-5150
NPI assigned
Jul 26, 2019
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 094418 NY Primary

Addresses

Primary practice location

1133 E 224TH St
Bronx, NY 10466-5834

Mailing address

1133 E 224TH St
Bronx, NY 10466-5834
Phone (347) 939-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251121001815 NY Practitioner - Clinical Social Worker 8729570353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care Psychology of Ny PCGroup PAC ID 0749536852, 49 clinicians

Practice addresses (Care Compare)

170 Lake St
Liberty, NY 12754-1966
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099961NYMDSocial Worker
094418NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Nov 5, 2025 Accepting new patients
Your Life Matters Counseling Services LCSW PLLC CurrentSince Nov 8, 2025 Accepting new patients
Your Life Matters Counseling Services LCSW, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

509 E 165th St
Bronx, NY 10456
Phone (347) 939-5150

7810 164th St
Fresh Meadows, NY 11366
Phone (516) 641-8482

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1124672241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E 224TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665834",
            "telephone_number": "347-939-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E 224TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665834",
            "telephone_number": "347-939-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIEN",
        "first_name": "JULSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.