Individual provider Active NPI

Julianne Kiesel Abuzuaiter, LCSW

  • Clinical Social Worker
  • Jamestown, NC
National Provider Identifier
1154877868
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012290 Issued in NC
Practice address
4752 Barrington Place CT
Jamestown, NC 27282-7975
Phone
(336) 404-5201
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 C012290 NC Primary

Addresses

Primary practice location

4752 Barrington Place CT
Jamestown, NC 27282-7975

Mailing address

4752 Barrington Place CT
Jamestown, NC 27282-7975
Phone (336) 404-5201

Other names 1

  • Julianne Mary Kiesel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191001001809 NC Practitioner - Clinical Social Worker 4183958267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Current Accepting new patients
Monarch CurrentSince Apr 27, 2020 Accepting new patients
Monarch CurrentSince Apr 27, 2020 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1154877868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 BARRINGTON PLACE CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827975",
            "telephone_number": "336-404-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 BARRINGTON PLACE CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827975",
            "telephone_number": "336-404-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUZUAITER",
        "first_name": "JULIANNE",
        "middle_name": "KIESEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "KIESEL",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, NC

Sources for this page

Verify at the official NPI Registry.