Individual provider Active NPI

Julia Lites, LCSWA, MSS

  • Clinical Social Worker
  • Huntersville, NC
National Provider Identifier
1487160271
Registry record updated Dec 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012121 Issued in NC
Practice address
16600 Birkdale Commons Pkwy Ste D
Huntersville, NC 28078-6181
Phone
(704) 564-0300
NPI assigned
Dec 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2017

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 P012121 NC Primary

Addresses

Primary practice location

16600 Birkdale Commons Pkwy Ste D
Huntersville, NC 28078-6181

Mailing address

16600 Birkdale Commons Pkwy Ste D
Huntersville, NC 28078-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200929001172 NC Practitioner - Clinical Social Worker 7719306547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 Williamson Rd
Suite 103
Mooresville, NC 28117-5967
Phone (704) 360-3049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012121NCMDClinical Social Worker

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": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513382400000",
    "number": "1487160271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE COMMONS PKWY STE D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE COMMONS PKWY STE D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181",
            "telephone_number": "704-564-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITES",
        "first_name": "JULIA",
        "credential": "LCSWA, MSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-16",
        "last_updated": "2017-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.