Individual provider Active NPI

Julie Anne Moreira Babalola, LSW LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1316142912
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018815 Issued in NC
Practice address
1515 Mockingbird LN # 420
Charlotte, NC 28209-3236
Phone
(704) 293-2694
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125282 PA
Clinical Social Worker 1041C0700X P018815 NC Primary

Addresses

Primary practice location

1515 Mockingbird LN # 420
Charlotte, NC 28209-3236

Mailing address

PO Box 443
Matthews, NC 28106-0443
Phone (704) 293-2694

Other practice location 1

PO Box 443
Matthews, NC 28106-0443
Phone (704) 293-2694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW125282PAMDSocial Worker
P018815NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Program Past Accepting new patients
Notary & Things, LLC Social Worker Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1316142912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281060443",
            "telephone_number": "704-293-2694",
            "fax_number": "704-803-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN # 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093236",
            "telephone_number": "704-293-2694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 443",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281060443",
            "country_code": "US",
            "telephone_number": "704-293-2694",
            "fax_number": "704-803-8372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREIRA BABALOLA",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "LSW LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125282",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.