Individual provider Active NPI

Julie Johnson

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1477692861
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081081 Issued in MI
Practice address
21885 Dunham Rd RM 5
Clinton Township, MI 48036-1030
Phone
(586) 469-5200
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801081081 MI Primary

Addresses

Primary practice location

21885 Dunham Rd RM 5
Clinton Township, MI 48036-1030

Mailing address

1350 Pennsylvania Ave
Marysville, MI 48040-1446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220201000158 MI Practitioner - Clinical Social Worker 7911390786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Nov 2, 2021 Accepting new patients
County of Macomb CurrentSince Nov 2, 2021 Accepting new patients

Locations

21885 Dunham Rd
Ste 5
Clinton Twp, MI 48036
Phone (586) 469-5200

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477692861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PENNSYLVANIA AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD RM 5",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.