Julie D Wilke, MSW, ACSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34002067A Issued in IN

Practice address

2334 Sterling Ave
Elkhart, IN 46516-4969

Phone

(574) 522-9246

Fax

(574) 522-5806

NPI assigned

Nov 20, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Julie Wilke Pangrac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1497936272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 STERLING AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164969",
            "telephone_number": "574-522-9246",
            "fax_number": "574-522-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 STERLING AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164969",
            "telephone_number": "574-522-9246",
            "fax_number": "574-522-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "JULIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MSW, ACSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002067A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "PANGRAC",
            "middle_name": "WILKE",
            "prefix": "MS.",
            "credential": "MSW, ACSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whole Body Chiropractic LLC
• Eddie J Wickline, CRNA
• Clark Widmoyer
• Susan Widup, RPH
• Meredith Katherine Wierman Schmidt, DO
• Amy Kristine Williams, BSW
• Diamond Williams
• Melissa Williams
• Paula Williams, BCBA
• Sierra Williams, RBT

• Clinical Social Worker in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.