Active NPI
Julie Elaine Bleicker, LCSW
- Clinical Social Worker
- Cupertino, CA
National Provider Identifier
1477626752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21109
- Practice address
- 21370 Homestead Rd.
Cupertino, CA 95014 - Phone
- (408) 522-2516
- Fax
- (408) 774-2355
- NPI assigned
- Nov 16, 2006
- Last updated
- Apr 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21109 | CA | Primary |
Addresses
Primary practice location
21370 Homestead Rd.
Cupertino, CA 95014
Mailing address
P.O. Box 1303
Campbell, CA 95009-1303
Phone (408) 522-2516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4018 | Other | CA | COUNTY ISSUED NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21109 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1477626752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1303",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950091303",
"telephone_number": "408-522-2516",
"fax_number": "408-774-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21370 HOMESTEAD RD.",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "95014",
"telephone_number": "408-522-2516",
"fax_number": "408-774-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEICKER",
"first_name": "JULIE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY ISSUED NUMBER",
"identifier": "4018",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.