Individual provider Active NPI

Julie M Wilcox, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1427333657
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006872 Issued in VA
Practice address
5002 Monument Ave Ste 201
Richmond, VA 23230-3634
Phone
(804) 497-4676
Fax
(804) 497-4677
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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 0904006872 VA Primary

Addresses

Primary practice location

5002 Monument Ave Ste 201
Richmond, VA 23230-3634

Mailing address

9846 Lori Rd Ste 201
Chesterfield, VA 23832-6695
Phone (804) 419-4122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006872VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Creative Counseling, LLC Past Accepting new patients
Richmond Creative Counseling Clinical Past Accepting new patients
National Counseling Group, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1427333657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 LORI RD STE 201",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326695",
            "telephone_number": "804-419-4122",
            "fax_number": "804-482-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 MONUMENT AVE STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303634",
            "telephone_number": "804-497-4676",
            "fax_number": "804-497-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.