Individual provider Active NPI

Julia R McLean, LCSW

  • Social Worker
  • Chappaqua, NY
National Provider Identifier
1659644300
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
084290 Issued in NY
Practice address
1 S Greeley Ave Ste 302
Chappaqua, NY 10514-3346
Phone
(914) 238-1699
NPI assigned
Feb 10, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084290 NY Primary

Addresses

Primary practice location

1 S Greeley Ave Ste 302
Chappaqua, NY 10514-3346

Mailing address

2 Nettle LN
Ridgefield, CT 06877-3331
Phone (973) 868-6482

Other practice location 1

100 Danbury Rd Ste 201E
Ridgefield, CT 06877-4150
Phone (973) 868-6482

Other practice location 2

16 E 16th St
New York, NY 10003-3105
Phone (212) 924-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180531000316 CT Practitioner - Clinical Social Worker 1355642554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University Medical College - NLG, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interface Counseling PLLCGroup PAC ID 9537531454, 6 clinicians

Practice addresses (Care Compare)

46 Danbury Rd
Suite 6
New Milford, CT 06776-3403
Phone (860) 354-5116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Counseling, PLLC CurrentSince Apr 16, 2023 Accepting new patients
Northwest Hills Youth and Family Services Inc. Past Accepting new patients

Locations

46 Danbury Rd
Ste 6
New Milford, CT 06776
Phone (860) 354-1596

Organizations & group practices 2

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": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659644300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NETTLE LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773331",
            "telephone_number": "973-868-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S GREELEY AVE STE 302",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143346",
            "telephone_number": "914-238-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Danbury Rd Ste 201E",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "CT",
            "postal_code": "068774150",
            "country_code": "US",
            "telephone_number": "973-868-6482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 E 16th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033105",
            "country_code": "US",
            "telephone_number": "212-924-7744",
            "fax_number": "212-206-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "JULIA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

Verify at the official NPI Registry.