Individual provider Active NPI

Julie A Domeier, LCSW-R

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1477179752
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R042144-01 Issued in NY
Practice address
7 Autumn LN
Amherst, MA 01002-3316
Phone
(845) 633-1614
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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 R042144-01 NY Primary

Addresses

Primary practice location

7 Autumn LN
Amherst, MA 01002-3316

Mailing address

7 Autumn LN
Amherst, MA 01002-3316
Phone (845) 633-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200914000886 NY Practitioner - Clinical Social Worker 2769800416 Practice locations: Highland, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R042144-01NYMDClinical Social Worker
042144NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1477179752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AUTUMN LN",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023316",
            "telephone_number": "845-633-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AUTUMN LN",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023316",
            "telephone_number": "845-633-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMEIER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R042144-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.