Individual provider Active NPI

Julia Mills Perry, LCSW

  • Clinical Social Worker
  • Edenton, NC
National Provider Identifier
1649799321
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005012 Issued in NC
Practice address
105 E King St
Edenton, NC 27932-1957
Phone
(252) 312-3885
Fax
(252) 312-3885
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 C005012 NC Primary

Addresses

Primary practice location

105 E King St
Edenton, NC 27932-1957

Mailing address

307 Queen Anne Dr
Edenton, NC 27932-1747
Phone (252) 312-3885

Other practice location 1

307 Queen Anne Dr
Edenton, NC 27932-1747
Phone (252) 312-3885

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
C005012NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649799321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 QUEEN ANNE DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321747",
            "telephone_number": "252-312-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E KING ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321957",
            "telephone_number": "252-312-3885",
            "fax_number": "252-312-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Queen Anne Dr",
            "address_purpose": "LOCATION",
            "city": "Edenton",
            "state": "NC",
            "postal_code": "279321747",
            "country_code": "US",
            "telephone_number": "252-312-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JULIA",
        "middle_name": "MILLS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.