Individual provider Active NPI

Julia E Stevens

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1124686274
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091548-01 Issued in NY
Practice address
975 Westchester Ave
Bronx, NY 10459-3204
Phone
(718) 320-4466
Fax
(718) 991-3829
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099040-1 NY
Clinical Social Worker 1041C0700X 091548-01 NY Primary

Addresses

Primary practice location

975 Westchester Ave
Bronx, NY 10459-3204

Mailing address

60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400

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
I20220108000027 NY Practitioner - Clinical Social Worker 2466844170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

1002 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466

504 W 157TH St
New York, NY 10032-7669
Phone (917) 521-3130

511 W 157TH St
New York, NY 10032-7601
Phone (212) 781-7979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099040-1NYMDSocial Worker
091548-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network Inc CurrentSince Feb 19, 2024 Accepting new patients

Locations

975 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

9704 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 657-7088

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

504 W 158th St
Rm 511
New York, NY 10032

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1124686274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593204",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JULIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099040-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091548-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.