Julia M. Deller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2901-123 Issued in WI

Practice address

N2846 State Road 67
Williams Bay, WI 53191-3771

Phone

(262) 245-5808

Fax

(262) 245-5648

NPI assigned

Jan 22, 2007

Last updated

Mar 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1184777013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2846 STATE ROAD 67",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531913771",
            "telephone_number": "262-245-5808",
            "fax_number": "262-245-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2846 STATE ROAD 67",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531913771",
            "telephone_number": "262-245-5808",
            "fax_number": "262-245-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLER",
        "first_name": "JULIA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2901-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184777013",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1184777013",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "DELLEJUL-MO",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C.a. Counseling & Consultants, LLC.
• Ashley Ann Carlson, NP
• Eric Carlson, D.C.
• Katherine L Catuara, PSYD
• Community Birth Group
• William Bruce Duncan, EDD
• Jonathan Caleb Easton, PSY.D.
• Louisa R Frost-Smith, M.A., CF-SLP
• Morgan Gagas, MS, LPC
• Christine A Hanson, PHD

• Clinical Social Worker in Williams Bay, WI
• Providers in Williams Bay, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.