Julia D. Portale, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3242 Issued in CT

Practice address

61 Sunrise Ave
New Canaan, CT 06840-6101

Phone

(203) 273-4645

NPI assigned

Apr 21, 2020

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jewish Home for the Elderly of Fairfield County Incorporated

  dba Mozaic Outpatient Rehab

  • Rehabilitation Clinic/Center
  • Bridgeport, CT
  • NPI 1285962928
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1407476302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SUNRISE AVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068406101",
            "telephone_number": "203-273-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SUNRISE AVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068406101",
            "telephone_number": "203-273-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALE",
        "first_name": "JULIA",
        "middle_name": "D.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "3242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "3242",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Petrides, CLD
• Philip Physical Therapy LLC
• Peter A. Philip, PT
• Harrison J Pierce, MD
• Taylor Alexandria Piggott, LPC-A
• Casey Helen Potetz, LAC.
• Ian H Power, M.CL.SC (SLP)
• Preferred Therapy Outpatient Services, LLC (PTOW at Waveny)
• William L Prueitt, MD
• R. Coder Matthews Inc.

• Social Worker in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.