Individual provider Active NPI

Julianne Elizabeth McConeghey

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1609464718
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1904033 Issued in OH
Practice address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone
(614) 844-3800
Fax
(614) 547-8015
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.1904033 OH Primary

Addresses

Primary practice location

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Mailing address

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250307000603 OH Practitioner - Clinical Social Worker 3375064223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1904033OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Autumn Treatment Center LLC Current Accepting new patients
Autumn Treatment Center LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

485 Metro Pl S
Ste 101
Dublin, OH 43017

1176 E Home Rd
Springfield, OH 45503
Phone (614) 943-3839

321 E Court St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-1233

Interoperability endpoints

  • Direct secure messaging: julianne.mcconeghey.p1@direct.iamboundless.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1609464718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800",
            "fax_number": "614-547-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800",
            "fax_number": "614-547-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONEGHEY",
        "first_name": "JULIANNE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1904033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.