Organization Active NPI

Julie Daul LCSW, PLLC

  • Clinical Social Worker
  • Pittsboro, NC
National Provider Identifier
1194490805
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JULIE DAUL LCSW, PLLC
Practice address
35 Thompson St
Pittsboro, NC 27312-5773
Phone
(919) 542-6183
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Julie Daul, LCSWNPI 1932210499
Title
Psychotherapist
Phone
(919) 542-6183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

35 Thompson St
Pittsboro, NC 27312-5773

Mailing address

PO Box 802
Pittsboro, NC 27312-0802

Other identifiers 1

IdentifierTypeStateIssuer
6106037MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823000583 NC Part B Supplier - Clinic/Group Practice 4981009404 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsboro, NC

National Provider Directory

National Provider Directory

Locations

35 Thompson St
Pittsboro, NC 27312
Phone (919) 444-1779

35 Thompson St
Ste 201
Pittsboro, NC 27312
Phone (919) 542-6183

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1194490805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273120802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 THOMPSON ST",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125773",
            "telephone_number": "919-542-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE DAUL LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "DAUL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-542-6183",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.