Individual provider Active NPI

Julie Humphrey, LCSW

  • Clinical Social Worker
  • Chesterfield, MO
National Provider Identifier
1194280495
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018023193 Issued in MO
Practice address
16020 Swingley Ridge Rd
Chesterfield, MO 63017-6030
Phone
(314) 252-8683
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 2018023193 MO Primary

Addresses

Primary practice location

16020 Swingley Ridge Rd
Chesterfield, MO 63017-6030

Mailing address

332 Bellezza Dr
Ballwin, MO 63021-6402
Phone (314) 313-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220906001900 MO Practitioner - Clinical Social Worker 4981088267 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
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

425 S Woods Mill Rd
Suite 150
Town and Country, MO 63017-9528
Phone (314) 269-0335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Aug 1, 2022 Accepting new patients
Inspire Change Counseling LLC Past Accepting new patients

Locations

255 Spencer Rd
Ste 101
Saint Peters, MO 63376
Phone (636) 477-6111

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

425 S Woods Mill Rd
Ste 150
Town and Country, MO 63017
Phone (314) 269-0335

Organizations & group practices 2

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1194280495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BELLEZZA DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216402",
            "telephone_number": "314-313-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 SWINGLEY RIDGE RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176030",
            "telephone_number": "314-252-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018023193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.