Active NPI
Julia N Apodaca-Lane
- Clinical Social Worker
- Moundville, AL
National Provider Identifier
1659679546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5385C
- Practice address
- 12612 Waterbury Way
Moundville, AL 35474-0050 - Phone
- (256) 335-8902
- NPI assigned
- Mar 2, 2011
- Last updated
- Oct 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 5385C | AL | Primary |
Addresses
Primary practice location
12612 Waterbury Way
Moundville, AL 35474-0050
Mailing address
4171 Lomac St Ste F
Montgomery, AL 36106-2945
Phone (334) 267-7599
Other practice location 1
829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone (907) 543-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA4442 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5385C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1659679546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 LOMAC ST STE F",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062945",
"telephone_number": "334-267-7599",
"fax_number": "334-845-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12612 WATERBURY WAY",
"city": "MOUNDVILLE",
"state": "AL",
"postal_code": "354740050",
"telephone_number": "256-335-8902"
}
],
"practiceLocations": [
{
"address_1": "829 CHIEF EDDIE HOFFMAN HWY",
"address_purpose": "LOCATION",
"city": "BETHEL",
"state": "AK",
"postal_code": "99559",
"country_code": "US",
"telephone_number": "907-543-6800",
"fax_number": "907-543-6008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "APODACA-LANE",
"first_name": "JULIA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5385C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA4442",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moundville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.