Individual provider Active NPI

Julie Gamez, LCSW

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1144711912
Registry record updated May 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010368 Issued in VA
Practice address
3940 Powhatan Pkwy
Williamsburg, VA 23188-2778
Phone
(757) 634-7172
NPI assigned
May 28, 2018
Last updated
May 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2018

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 0904010368 VA Primary

Addresses

Primary practice location

3940 Powhatan Pkwy
Williamsburg, VA 23188-2778

Mailing address

3940 Powhatan Pkwy
Williamsburg, VA 23188-2778
Phone (757) 634-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200911002035 VA Practitioner - Clinical Social Worker 0941628630 Practice locations: Williamsburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of New England, College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1307 Jamestown Rd
Suite 101
Williamsburg, VA 23185-3381
Phone (757) 302-7724

3917 Midlands Rd
Suite 200
Williamsburg, VA 23188-4505
Phone (757) 302-7724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010368VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Notice That - Therapy & Consulting LLC Clinical PastSince Feb 26, 2023 Accepting new patients

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": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527465600000",
    "number": "1144711912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 POWHATAN PKWY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882778",
            "telephone_number": "757-634-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 POWHATAN PKWY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882778",
            "telephone_number": "757-634-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2018-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.