Individual provider Active NPI

Julie Annette Martinez-Aguilar, MSW, LICSW

  • Clinical Social Worker
  • Bruceton Mills, WV
National Provider Identifier
1144545138
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00943355 Issued in WV
Practice address
198 Morgantown St Ste 2
Bruceton Mills, WV 26525-5003
Phone
(304) 379-7600
Fax
(301) 533-3299
NPI assigned
Apr 1, 2010
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 DP00943355 WV Primary

Addresses

Primary practice location

198 Morgantown St Ste 2
Bruceton Mills, WV 26525-5003

Mailing address

198 Morgantown St Ste 2
Bruceton Mills, WV 26525-5003
Phone (304) 379-7600

Other identifiers 1

IdentifierTypeStateIssuer
3810028820MedicaidWV

Other names 1

  • Miss Julie Annette Workman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20150421001922 WV Practitioner - Clinical Social Worker 6901124056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Counseling Center LLCGroup PAC ID 5597115782, 20 clinicians

Practice addresses (Care Compare)

207 Fairmont Ave
Fairmont, WV 26554-2710
Phone (689) 404-6869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00943355WVMDClinical Social Worker

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, 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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1144545138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 MORGANTOWN ST STE 2",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265255003",
            "telephone_number": "304-379-7600",
            "fax_number": "301-533-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MORGANTOWN ST STE 2",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265255003",
            "telephone_number": "304-379-7600",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-AGUILAR",
        "first_name": "JULIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810028820",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WORKMAN",
            "middle_name": "ANNETTE",
            "prefix": "MISS",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bruceton Mills, WV

Sources for this page

Verify at the official NPI Registry.