Individual provider Active NPI

Julie Farman, LMSW

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1396322616
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068720 Issued in MI
Practice address
127 N River St
Fenton, MI 48430-3800
Phone
(810) 309-9355
Fax
(810) 750-1152
NPI assigned
Mar 24, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 6801068720 MI Primary

Addresses

Primary practice location

127 N River St
Fenton, MI 48430-3800

Mailing address

127 N River St
Fenton, MI 48430-3800
Phone (810) 309-9355

Other identifiers 1

IdentifierTypeStateIssuer
6801068720OtherMILMSW LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@fentonwellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240401001257 MI Practitioner - Clinical Social Worker 3173932142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Flack PSYD PCGroup PAC ID 0547426264, 10 clinicians
Brainwise Psychotherapy PLLCGroup PAC ID 5294177622, 10 clinicians

Practice addresses (Care Compare)

127 N River St
Fenton, MI 48430-3800
Phone (810) 309-9355

555 W Crosstown Pkwy
Suite 401
Kalamazoo, MI 49008-1980
Phone (269) 389-9502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068720MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brainwise Psychotherapy PLLC Clinical CurrentSince Mar 1, 2025 Accepting new patients
J Flack PSYD PC Social Worker CurrentSince Feb 7, 2024 Accepting new patients
Fenton Wellness Social Worker PastSince Mar 28, 2021 Accepting new patients

Locations

127 N River St
Fenton, MI 48430
Phone (810) 309-9355

555 W Crosstown Pkwy
Ste 401
Kalamazoo, MI 49008
Phone (269) 389-9502

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1396322616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-309-9355",
            "fax_number": "810-750-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-309-9355",
            "fax_number": "810-750-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMAN",
        "first_name": "JULIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW LICENSE",
            "identifier": "6801068720",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@fentonwellness.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 N River St",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484303800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.