Active NPI
Julie Ann Tatowicz, LCSW
- Social Worker
- Santa Cruz, CA
National Provider Identifier
1487994570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 74735
- Practice address
- 1400 Emeline Ave
Santa Cruz, CA 95060-1976 - Phone
- (831) 454-4170
- Fax
- (831) 454-4663
- NPI assigned
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 79269 | CA | |
| Social Worker | 104100000X | 086166 | NY | |
| Social Worker | 104100000X | 74735 | CA | Primary |
Addresses
Primary practice location
1400 Emeline Ave
Santa Cruz, CA 95060-1976
Mailing address
4350 Clares St Apt 8
Capitola, CA 95010-2033
Phone (540) 383-4163
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ91891Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
| FHC70042F | Other | CA | SANTA CRUZ COUNTY MEDI-CAL GROUP PTAN# |
| 79269 | Other | CA | PROFESSIONAL LICENSE |
Other names 1
- Julie Ann Keeler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Aptos, CA 95003
Phone (607) 319-3036
1400 Emeline Ave
Santa Cruz, CA 95060-1976
Phone (831) 454-4971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79269 | CA | MD | Social Worker |
| 086166 | NY | MD | Social Worker |
| 74735 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Cruz | Current | Accepting new patients | |
| County of Santa Cruz | Current | Accepting new patients |
Locations
1400 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4900
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.
-
- Clinic/Center
- Santa Cruz, CA
- NPI 1659315430
-
dba Watsonville Health Center
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1770709149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1487994570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 CLARES ST APT 8",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102033",
"telephone_number": "540-383-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4170",
"fax_number": "831-454-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATOWICZ",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "79269",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "086166",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "74735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
"identifier": "ZZZ91891Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDI-CAL GROUP PTAN#",
"identifier": "FHC70042F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "79269",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "KEELER",
"middle_name": "ANN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.