Individual provider Active NPI

Julie Rose Ursic

  • Clinical Social Worker
  • Hermosa Beach, CA
National Provider Identifier
1558935825
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128355 Issued in CA
Practice address
2309 Pacific Coast Hwy Ste 202
Hermosa Beach, CA 90254-2753
Phone
(310) 421-8850
NPI assigned
May 19, 2021
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 128355 CA Primary

Addresses

Primary practice location

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

Mailing address

2183 W Paseo del Mar
San Pedro, CA 90732-4556
Phone (310) 421-8850

Other practice location 1

1427 W 8th St Ste 101
San Pedro, CA 90732-3803
Phone (310) 421-8850

Other names 1

  • Julie Rose Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128355CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Ursic Licensed Clinical Social Worker Inc. Clinical CurrentSince Feb 23, 2025 Accepting new patients
1736 Family Crisis Center PastSince May 1, 2021 Accepting new patients

Locations

2309 Pacific Coast Hwy
Ste 202
Hermosa Beach, CA 90254
Phone (310) 359-0320

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1558935825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 W PASEO DEL MAR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324556",
            "telephone_number": "310-421-8850"
        },
        {
            "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": "310-421-8850"
        }
    ],
    "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": "310-421-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URSIC",
        "first_name": "JULIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "TAYLOR",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 5, 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.