Individual provider Active NPI

Julie Anna Weinheimer, L.C.S.W.

  • Blind Rehabilitation Specialist/Technologist
  • Coram, NY
National Provider Identifier
1629375357
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X
Practice address
8 Idaho CT
Coram, NY 11727-1511
Phone
(516) 901-3434
NPI assigned
Feb 15, 2011
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072230-1 NY
Blind Rehabilitation Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2255R0406X Primary

Addresses

Primary practice location

8 Idaho CT
Coram, NY 11727-1511

Mailing address

8 Idaho CT
Coram, NY 11727-1511
Phone (516) 901-3434

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
072230-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1629375357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 IDAHO CT",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271511",
            "telephone_number": "516-901-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 IDAHO CT",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271511",
            "telephone_number": "516-901-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINHEIMER",
        "first_name": "JULIE",
        "middle_name": "ANNA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072230-1",
            "primary": false
        },
        {
            "code": "2255R0406X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.