Julia J Waller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004729 Issued in GA

Practice address

367 Athens Hwy Ste 1800
Loganville, GA 30052-8293

Phone

(770) 554-2999

Fax

(770) 679-6390

NPI assigned

Oct 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julia.waller.1@25899.direct.athenahealth.com

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.

• Psychiatric Professionals of Georgia, LLC

  • Psychiatry Physician
  • Suwanee, GA
  • NPI 1396277968
  Medicare reassignment NPD
• Greater Atlanta MD Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Lawrenceville, GA
  • NPI 1760023121
  NPD
• Ellen M Benson LLC

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1588925853
  NPD (past)
• Parrott Solutions, LLC

  • Mental Health Counselor
  • Stone Mountain, GA
  • NPI 1013472026
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1588964795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 1800",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528293",
            "telephone_number": "770-554-2999",
            "fax_number": "770-679-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 1800",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528293",
            "telephone_number": "770-554-2999",
            "fax_number": "770-679-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4286 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300321221",
            "country_code": "US",
            "telephone_number": "347-241-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLER",
        "first_name": "JULIA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW004942",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Walker, CAC II
• Monica McCullers Walker
• William Walker, LMSW
• Michael Wallace, DPT
• Mary-Theresia Kemni Wallang-Nwaha, NP-C
• Walton Children'S Clinic
• Walton County Treatment Center LLC
• Walton Pulmonary & Sleep Medicine PC
• Jonathan M. Walton-Roberts, PHARM.D.
• Erica Lynn Walton, NP

• Clinical Social Worker in Loganville, GA
• Providers in Loganville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.