Individual provider Active NPI

Julie Meredith Simonson, MSW, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1285034330
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018633 Issued in PA
Practice address
509 Vine St
Suite 3H
Philadelphia, PA 19106-1007
Phone
(267) 519-7389
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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 CW018633 PA Primary

Addresses

Primary practice location

509 Vine St
Suite 3H
Philadelphia, PA 19106-1007

Mailing address

509 Vine St
Suite 3H
Philadelphia, PA 19106-1007
Phone (267) 519-7389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1285034330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 VINE ST",
            "address_2": "SUITE 3H",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061007",
            "telephone_number": "267-519-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 VINE ST",
            "address_2": "SUITE 3H",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061007",
            "telephone_number": "267-519-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "JULIE",
        "middle_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.