Active NPI
Julia Waldron
- Clinical Social Worker
- Hebron, CT
National Provider Identifier
1376342279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 014990
- Practice address
- 25 Pendleton Dr
Hebron, CT 06248-1579 - Phone
- (860) 228-9488
- NPI assigned
- Mar 12, 2025
- Last updated
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 014990 | CT | Primary |
Addresses
Primary practice location
25 Pendleton Dr
Hebron, CT 06248-1579
Mailing address
527 W Thames St Unit 80
Norwich, CT 06360-7198
Phone (203) 903-7811
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014990 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moxie Therapy LLC | Current | Accepting new patients | |
| Beehive Counseling & Wellness LLC | Clinical | Past | Accepting new patients |
| Andover, Hebron, Marlborough Youth & Family Services, Inc. | Clinical | Past | Accepting new patients |
Locations
567 Vauxhall Street Ext
Ste 210
Waterford, CT 06385
Phone (860) 813-2798
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Waterford, CT
- NPI 1114863834
-
- Marriage & Family Therapist
- Hebron, CT
- NPI 1801050398
Clinical
-
- Marriage & Family Therapist
- Manchester, CT
- NPI 1003477829
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1376342279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 W THAMES ST UNIT 80",
"city": "NORWICH",
"state": "CT",
"postal_code": "063607198",
"telephone_number": "203-903-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PENDLETON DR",
"city": "HEBRON",
"state": "CT",
"postal_code": "062481579",
"telephone_number": "860-228-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "014990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hebron, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.