Organization Active NPI

Julie Ursic Licensed Clinical Social Worker Inc.

  • Clinical Social Worker
  • Hermosa Beach, CA
National Provider Identifier
1558176131
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JULIE URSIC LICENSED CLINICAL SOCIAL WORKER INC.
Practice address
2309 Pacific Coast Hwy Ste 202
Hermosa Beach, CA 90254-2753
Phone
(310) 528-5007
NPI assigned
Feb 11, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Julie Rose Ursic, JD, LCSWNPI 1558935825
Title
Owner
Phone
(310) 528-5007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2309 Pacific Coast Hwy Ste 202
Hermosa Beach, CA 90254-2753

Mailing address

1429 W 16TH St
San Pedro, CA 90732-4003
Phone (310) 528-5007

Other practice location 1

1427 W 8th St Ste 101
San Pedro, CA 90732-3803
Phone (310) 528-5007

National Provider Directory

National Provider Directory

Locations

1427 W 8th St
Ste 101
San Pedro, CA 90732
Phone (310) 421-8850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1558176131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 W 16TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324003",
            "telephone_number": "310-528-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 PACIFIC COAST HWY STE 202",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542753",
            "telephone_number": "310-528-5007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 W 8th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323803",
            "country_code": "US",
            "telephone_number": "310-528-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE URSIC LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "URSIC",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-528-5007",
        "authorized_official_credential": "JD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.