Individual provider Active NPI

Julia C Thompson, LCSW

  • Clinical Social Worker
  • Cape Coral, FL
National Provider Identifier
1336511237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14616 Issued in FL
Practice address
4206 Del Prado Blvd S
Cape Coral, FL 33904-7154
Phone
(239) 224-0622
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 SW14616 FL Primary

Addresses

Primary practice location

4206 Del Prado Blvd S
Cape Coral, FL 33904-7154

Mailing address

3616 SW 4TH LN
Cape Coral, FL 33991-5610
Phone (239) 222-2106

Other practice location 1

1700 Education Ave
Punta Gorda, FL 33950-6222
Phone (941) 639-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171010000217 FL Practitioner - Clinical Social Worker 1759656234 Reassigns benefits to 1 organization
I20231104000685 TX Practitioner - Clinical Social Worker 1759656234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

242 S Washington Blvd
Sarasota, FL 34236-6943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66100TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Purpose Counseling Services, PLLC 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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336511237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 SW 4TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339915610",
            "telephone_number": "239-222-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047154",
            "telephone_number": "239-224-0622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Education Ave",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339506222",
            "country_code": "US",
            "telephone_number": "941-639-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JULIA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.