Individual provider Active NPI

Julia M Salmon, LCSW

  • Clinical Social Worker
  • Leesburg, FL
National Provider Identifier
1619409463
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 14347 Issued in FL
Practice address
2020 Talley Rd
Leesburg, FL 34748-3426
Phone
(352) 315-7800
Fax
(352) 315-7587
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 SW 14347 FL Primary

Addresses

Primary practice location

2020 Talley Rd
Leesburg, FL 34748-3426

Mailing address

2707 Autumn LN
Eustis, FL 32726-2041
Phone (352) 250-2303

Other names 1

  • Julia M Palomino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170427000919 FL Practitioner - Clinical Social Worker 3779860887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurogenesis Center of Florida PLLCGroup PAC ID 9739420365, 6 clinicians

Practice addresses (Care Compare)

253 N Orlando Ave
Suite 202
Maitland, FL 32751-5521
Phone (407) 790-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 14347FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neurogenesis Center of Florida, PLLC CurrentSince Apr 26, 2024 Accepting new patients

Locations

253 N Orlando Ave
Ste 202
Maitland, FL 32751
Phone (407) 427-1855

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1619409463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 AUTUMN LN",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262041",
            "telephone_number": "352-250-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TALLEY RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483426",
            "telephone_number": "352-315-7800",
            "fax_number": "352-315-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "JULIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 14347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "PALOMINO",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.