Individual provider Active NPI

Julie McCalip, LCSW

  • Social Worker
  • Whitewater, WI
National Provider Identifier
1679125587
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1173 W Main St
Whitewater, WI 53190-1672
Phone
(608) 302-0140
Fax
(262) 458-2680
NPI assigned
Jul 10, 2019
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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 NU Primary

Addresses

Primary practice location

1173 W Main St
Whitewater, WI 53190-1672

Mailing address

701 N Wuthering Hills Dr
Janesville, WI 53546-2104
Phone (608) 302-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230131002794 WI Practitioner - Clinical Social Worker 8224404355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1173 W Main St
Suite B
Whitewater, WI 53190-1672
Phone (262) 458-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Psychotherapy LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

1173 W Main St
Ste B
Whitewater, WI 53190
Phone (262) 207-4197

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1679125587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N WUTHERING HILLS DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462104",
            "telephone_number": "608-302-0140",
            "fax_number": "262-458-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 W MAIN ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901672",
            "telephone_number": "608-302-0140",
            "fax_number": "262-458-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALIP",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitewater, WI

Sources for this page

Verify at the official NPI Registry.