Individual provider Active NPI

Julie D Swim, LISW

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1649663907
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304702 Issued in OH
Practice address
10200 Alliance Rd Ste 150
Blue Ash, OH 45242-4754
Phone
(303) 886-4356
NPI assigned
Mar 11, 2015
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2077 CO
Clinical Social Worker 1041C0700X 259468 KY
Clinical Social Worker 1041C0700X I.2304702 OH Primary

Addresses

Primary practice location

10200 Alliance Rd Ste 150
Blue Ash, OH 45242-4754

Mailing address

1407 Grandin Rd Apt 4104
Maineville, OH 45039-9415
Phone (303) 886-4356

Other identifiers 1

IdentifierTypeStateIssuer
47-3333652OtherCOEMPLOYEE INDENTIFICATION NUMBER

Other names 1

  • Julie Dawn Bahl Former name

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
I20241003000538 OH Practitioner - Clinical Social Worker 5890226732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

10200 Alliance Rd
Suite 150
Blue Ash, OH 45242-4754
Phone (513) 975-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2077COMDClinical Social Worker
259468KYMDClinical Social Worker
I.2304702OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Mental Health CurrentSince Oct 14, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

10200 Alliance Rd
Ste 150
Blue Ash, OH 45242
Phone (513) 563-0488

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1649663907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 GRANDIN RD APT 4104",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399415",
            "telephone_number": "303-886-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 ALLIANCE RD STE 150",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424754",
            "telephone_number": "303-886-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIM",
        "first_name": "JULIE",
        "middle_name": "D",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "2077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259468",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE INDENTIFICATION NUMBER",
            "identifier": "47-3333652",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BAHL",
            "middle_name": "DAWN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.