Active NPI
Julie M Herrick, LMSW-CC
- Clinical Social Worker
- Biddeford, ME
National Provider Identifier
1376711200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431492200 | Medicaid | ME |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12104 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanside Community Services | Current | 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.
-
- Community/Behavioral Health Agency
- Biddeford, ME
- NPI 1821324815
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.