Individual provider Active NPI

Julie Latimer Spears, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1619154044
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36349 Issued in TX
Practice address
4422 Pack Saddle Pass
Suite 103
Austin, TX 78745-1681
Phone
(512) 497-4782
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 36349 TX Primary

Addresses

Primary practice location

4422 Pack Saddle Pass
Suite 103
Austin, TX 78745-1681

Mailing address

10000 Crater Lake Pass
Austin, TX 78747-2693
Phone (512) 497-4782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170831001680 TX Practitioner - Clinical Social Worker 4789957408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

706 W Ben White Blvd
BLDG B Suite 180
Austin, TX 78704-8124
Phone (512) 497-4782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36349TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Spears, LCSW, LLC Clinical CurrentSince Sep 29, 2020 Accepting new patients

Locations

706 W Ben White Blvd
Ste B180
Austin, TX 78704
Phone (512) 497-4782

706 W Ben White Blvd
Ste 180
Austin, TX 78704

4422 Pack Saddle Pass
Ste 103
Austin, TX 78745
Phone (512) 443-9200

Organizations & group practices 1

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1619154044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 CRATER LAKE PASS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472693",
            "telephone_number": "512-497-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 PACK SADDLE PASS",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451681",
            "telephone_number": "512-497-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "JULIE",
        "middle_name": "LATIMER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.