Individual provider Active NPI

Julie Marie Bolduc Defilippo, PHD, MSW, LICSW

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1447071097
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1140695 Issued in MA
Practice address
130 Centre St Ste Ha-101
Danvers, MA 01923-1456
Phone
(978) 500-6909
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1140695 MA Primary
Clinical Social Worker 1041C0700X 223719 MA

Addresses

Primary practice location

130 Centre St Ste Ha-101
Danvers, MA 01923-1456

Mailing address

130 Centre St Ste Ha-101
Danvers, MA 01923-1456
Phone (978) 500-6909

Other names 1

  • Dr. Julie Marie Bolduc Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1140695MAMDClinical Social Worker
223719MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JMBD Consulting Clinical CurrentSince Jun 23, 2025 Accepting new patients

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1447071097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTRE ST STE HA-101",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231456",
            "telephone_number": "978-500-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTRE ST STE HA-101",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231456",
            "telephone_number": "978-500-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPO",
        "first_name": "JULIE",
        "middle_name": "MARIE BOLDUC",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1140695",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BOLDUC",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.