Individual provider Active NPI

Juliet C Bond, LCSW

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1366035784
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008626 Issued in IL
Practice address
900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043
Phone
(847) 668-4295
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 149.008626 IL Primary

Addresses

Primary practice location

900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043

Mailing address

900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043
Phone (847) 668-4295

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherILPRIVATE INSURANCE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.northshorefamilyservices.com Direct
CONNECT URL www.northshorefamilyservices.com Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.008626ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Family Services Clinical CurrentSince Dec 28, 2022 Accepting new patients
North Shore Family Services, LLC Clinical CurrentSince Feb 21, 2021 Accepting new patients

Locations

900 Skokie Blvd
Ste 218
Northbrook, IL 60062
Phone (847) 668-4295

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1366035784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JULIET",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "NA",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northshorefamilyservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Skokie Blvd Ste 218",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600624043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northshorefamilyservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Skokie Blvd Ste 218",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600624043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.