Julie Fanelli, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW115012 Issued in CA

Practice address

2309 Ca-1
Suite 207
Hermosa Beach, CA 90254

Phone

(310) 430-0981

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1457131286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PHELAN LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783804",
            "telephone_number": "310-430-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 CA-1",
            "address_2": "SUITE 207",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "90254",
            "telephone_number": "310-430-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "JULIE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW115012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcus Kyle Carlos Fajardo
• Haley Falzon, LMFT
• Chanel Farley
• Sara Feld
• Abigail Marie Jagolino Fernandez, OD
• Arnulfo Fernandez Jr., RN
• Kiersten Erin Yabut Fernandez

• Clinical Social Worker in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.