Individual provider Active NPI

Julie M Herrick, LMSW-CC

  • Clinical Social Worker
  • Biddeford, ME
National Provider Identifier
1376711200
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12104
Practice address
22 W Cole Rd
Ste 103
Biddeford, ME 04005-9431
Phone
(207) 571-9923
Fax
(207) 571-9927
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 LC12104 Primary

Addresses

Primary practice location

22 W Cole Rd
Ste 103
Biddeford, ME 04005-9431

Mailing address

22 W Cole Rd
Ste 103
Biddeford, ME 04005-9431
Phone (207) 571-9923

Other identifiers 1

IdentifierTypeStateIssuer
431492200MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000353 ME Practitioner - Clinical Social Worker 9537341052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC12104MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Community Services CurrentSince Dec 18, 2010 Accepting new patients

Locations

22 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 571-9923

Organizations & group practices 1

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1376711200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W COLE RD",
            "address_2": "STE 103",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059431",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W COLE RD",
            "address_2": "STE 103",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059431",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "LC12104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431492200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.