Active NPI
Julianne S Bulau, MSW LICSW
- Clinical Social Worker
- Albert Lea, MN
National Provider Identifier
1205914488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14267
- Practice address
- 203 W Clark St
Freeborn County Mental Health Center
Albert Lea, MN 56007 - Phone
- (507) 377-5400
- Fax
- (507) 377-5505
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14267 | MN | Primary |
Addresses
Primary practice location
203 W Clark St
Freeborn County Mental Health Center
Albert Lea, MN 56007
Mailing address
1923 Wilby Rd
Albert Lea, MN 56007
Phone (507) 377-5446
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117216600 | Other | MHOP OF MN | |
| 01020801 | Other | MN | PREFERRED ONE |
| 11721600 | Medicaid | MN | |
| 66D10BU | Other | MN | BCBS OF MN |
| 6274944 | Other | MN | UBH MEDICA |
| 123766 | Other | MN | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14267 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1205914488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 WILBY RD",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "56007",
"telephone_number": "507-377-5446",
"fax_number": "507-377-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W CLARK ST",
"address_2": "FREEBORN COUNTY MENTAL HEALTH CENTER",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "56007",
"telephone_number": "507-377-5400",
"fax_number": "507-377-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULAU",
"first_name": "JULIANNE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "14267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHOP OF MN",
"identifier": "117216600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "01020801",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11721600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "66D10BU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH MEDICA",
"identifier": "6274944",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "123766",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albert Lea, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.