Individual provider Active NPI

Julia Mendyka, LMSW

  • Clinical Social Worker
  • Freeland, MI
National Provider Identifier
1366069163
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107322 Issued in MI
Practice address
7202 Midland Rd
Freeland, MI 48623-8775
Phone
(989) 318-4059
NPI assigned
Jun 29, 2020
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 6801107322 MI Primary

Addresses

Primary practice location

7202 Midland Rd
Freeland, MI 48623-8775

Mailing address

7202 Midland Rd
Freeland, MI 48623-8775
Phone (989) 318-4059

Other names 1

  • Julia Mohan Former name

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
6801107322MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Journey Therapy Services, LLC Clinical Past Accepting new patients
Balanced Restoration Services, LLC PastSince Oct 8, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1366069163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238775",
            "telephone_number": "989-318-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238775",
            "telephone_number": "989-318-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDYKA",
        "first_name": "JULIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MOHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.