Active NPI
Julia Cardone, LCSW
- Clinical Social Worker
- Trumbull, CT
National Provider Identifier
1649729880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 011232
- Practice address
- 450 Erwin St
Trumbull, CT 06611-5149 - Phone
- (203) 581-0769
- NPI assigned
- Sep 29, 2016
- Reactivated
- Dec 8, 2020
- Last updated
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 011232 | CT | Primary |
Addresses
Primary practice location
450 Erwin St
Trumbull, CT 06611-5149
Mailing address
450 Erwin St
Trumbull, CT 06611-5149
Phone (203) 581-0769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011232 | CT | MD | Clinical Social Worker |
| 11232 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1649729880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ERWIN ST",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115149",
"telephone_number": "203-581-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 ERWIN ST",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115149",
"telephone_number": "203-581-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONE",
"first_name": "JULIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2020-12-18",
"certification_date": "2020-12-12",
"deactivation_date": "2020-06-22",
"reactivation_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "011232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.