Individual provider Active NPI

Julia Waldron

  • Clinical Social Worker
  • Hebron, CT
National Provider Identifier
1376342279
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
014990 Issued in CT
Practice address
25 Pendleton Dr
Hebron, CT 06248-1579
Phone
(860) 228-9488
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014990CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moxie Therapy LLC CurrentSince Jun 10, 2026 Accepting new patients
Beehive Counseling & Wellness LLC Clinical Past Accepting new patients
Andover, Hebron, Marlborough Youth & Family Services, Inc. Clinical PastSince Mar 20, 2025 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.

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

Verify at the official NPI Registry.