Individual provider Active NPI

Julie M Macwilliams, LICSW

  • Clinical Social Worker
  • Devens, MA
National Provider Identifier
1245510254
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117974 Issued in MA
Practice address
84 Antietam St Ste 201
Devens, MA 01434-5247
Phone
(978) 451-4358
Fax
(978) 451-0800
NPI assigned
Aug 22, 2011
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-07903 NM
Social Worker 104100000X X-07396 NM
Clinical Social Worker 1041C0700X 117974 MA Primary
Clinical Social Worker 1041C0700X 3037 NH

Addresses

Primary practice location

84 Antietam St Ste 201
Devens, MA 01434-5247

Mailing address

84 Antietam St Ste 201
Devens, MA 01434-5247
Phone (978) 451-4358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150505002357 MA Practitioner - Clinical Social Worker 2264751775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians

Practice addresses (Care Compare)

10 I Roessler Rd
Woburn, MA 01801-6208
Phone (781) 932-8114

14 Fordham Rd
Allston, MA 02134-3000
Phone (617) 782-6460

384 Washington St
Norwell, MA 02061-2010
Phone (781) 871-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-07903NMMDSocial Worker
X-07396NMMDSocial Worker
117974MAMDClinical Social Worker
3037NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hri Clinics, Inc. CurrentSince May 28, 2024 Accepting new patients
Hri Clinics Inc CurrentSince May 28, 2024 Accepting new patients

Locations

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

411 Chandler St
Worcester, MA 01602
Phone (508) 471-5600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1245510254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ANTIETAM ST STE 201",
            "city": "DEVENS",
            "state": "MA",
            "postal_code": "014345247",
            "telephone_number": "978-451-4358",
            "fax_number": "978-451-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ANTIETAM ST STE 201",
            "city": "DEVENS",
            "state": "MA",
            "postal_code": "014345247",
            "telephone_number": "978-451-4358",
            "fax_number": "978-451-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACWILLIAMS",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-07903",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-07396",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117974",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devens, MA

Sources for this page

Verify at the official NPI Registry.