Individual provider Active NPI

Julie Ann Birdsong, LSW

  • Clinical Social Worker
  • Kettering, OH
National Provider Identifier
1225392111
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S. 0004466 Issued in OH
Practice address
2555 S Dixie Dr
100
Kettering, OH 45409-1539
Phone
(937) 299-9060
Fax
(937) 299-3040
NPI assigned
Jun 26, 2012
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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 S. 0004466 OH Primary

Addresses

Primary practice location

2555 S Dixie Dr
100
Kettering, OH 45409-1539

Mailing address

2555 S Dixie Dr
100
Kettering, OH 45409-1539
Phone (937) 299-9060

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S. 0004466OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1225392111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR",
            "address_2": "100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091539",
            "telephone_number": "937-299-9060",
            "fax_number": "937-299-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR",
            "address_2": "100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091539",
            "telephone_number": "937-299-9060",
            "fax_number": "937-299-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S. 0004466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.