Julie Ann Willstatter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P062007 Issued in NY

Practice address

1702 Half Moon Bay Dr
Croton on Hudson, NY 10520-3121

Phone

(914) 649-3623

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1164509428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 HALF MOON BAY DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203121",
            "telephone_number": "914-649-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HALF MOON BAY DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203121",
            "telephone_number": "914-649-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 CHESTER AVE",
            "address_purpose": "LOCATION",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015115",
            "country_code": "US",
            "telephone_number": "914-649-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLSTATTER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P062007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Whitman, LCSW
• Shelly Wierman, DOULA, CLC
• Alisha Marta Williams-McCorvey, LCSW-R
• Panchetia Williams
• Caroline Williford, NP
• Jessica Vienna Wilson, L.M.T.
• Yan Ling Gao, Physician, P.C.
• Johnathan Zamora, NUTRITIONIST
• Rosemary Zaremba, SLP
• Marco D Zarlengo, M.D.

• Clinical Social Worker in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.