Individual provider Active NPI

Julie Patricia Guilfoyle, LISW

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1326178336
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008841 Issued in OH
Practice address
10901 Reed Hartman Hwy
Ste 111
Blue Ash, OH 45242-2847
Phone
(513) 262-3409
Fax
(513) 297-9251
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 I0008841 OH Primary

Addresses

Primary practice location

10901 Reed Hartman Hwy
Ste 111
Blue Ash, OH 45242-2847

Mailing address

10901 Reed Hartman Hwy
Ste 111
Blue Ash, OH 45242-2847
Phone (513) 262-3409

Other names 1

  • Julie Melanson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090409000585 OH Practitioner - Clinical Social Worker 0648327510 Practice locations: Fairfield, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

675 Deis Dr
Suite 157
Fairfield, OH 45014-8136
Phone (513) 262-3409

675 N Dies Dr
Unit 157
Fairfield, OH 45014-8136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0008841OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1326178336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 REED HARTMAN HWY",
            "address_2": "STE 111",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422847",
            "telephone_number": "513-262-3409",
            "fax_number": "513-296-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 REED HARTMAN HWY",
            "address_2": "STE 111",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422847",
            "telephone_number": "513-262-3409",
            "fax_number": "513-297-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILFOYLE",
        "first_name": "JULIE",
        "middle_name": "PATRICIA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MELANSON",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.