Individual provider Active NPI

Julie Ann Williams, M.S.

  • Clinical Social Worker
  • Janesville, WI
National Provider Identifier
1679541197
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2942-123 Issued in WI
Practice address
1 S Main St
Janesville, WI 53545-3977
Phone
(608) 757-0404
Fax
(608) 757-2319
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1494-125 WI
Clinical Social Worker 1041C0700X 2942-123 WI Primary

Addresses

Primary practice location

1 S Main St
Janesville, WI 53545-3977

Mailing address

1 S Main St
Janesville, WI 53545-3922
Phone (608) 757-0404

Other identifiers 1

IdentifierTypeStateIssuer
39663400MedicaidWI

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
I20210916000737 WI Practitioner - Clinical Social Worker 9931506052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Counseling Services LTD.Group PAC ID 0648278416, 6 clinicians

Practice addresses (Care Compare)

1 S Main St
Suite 250
Janesville, WI 53545-3939
Phone (608) 757-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1494-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling Services LTD. Mental Health CurrentSince Sep 1, 2021 Accepting new patients

Locations

1 S Main St
Ste 250
Janesville, WI 53545
Phone (608) 757-0404

1 S Main St
Janesville, WI 53545
Phone (608) 757-0404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1679541197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453922",
            "telephone_number": "608-757-0404",
            "fax_number": "608-757-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453977",
            "telephone_number": "608-757-0404",
            "fax_number": "608-757-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1494-125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2942-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39663400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.