Active NPI
Julia Marie Smith, LCSW
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1700120094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009024
- Practice address
- 1145 Executive Cir Ste D
Cary, NC 27511-4586 - Phone
- (919) 514-4397
- NPI assigned
- Nov 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P007412 | NC | |
| Clinical Social Worker | 1041C0700X | C009024 | NC | Primary |
Addresses
Primary practice location
1145 Executive Cir Ste D
Cary, NC 27511-4586
Mailing address
102 Preston Pines Dr
C-100
Cary, NC 27513-3493
Phone (919) 357-7743
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 |
|---|---|---|---|
| P007412 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1700120094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PRESTON PINES DR",
"address_2": "C-100",
"city": "CARY",
"state": "NC",
"postal_code": "275133493",
"telephone_number": "919-357-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 EXECUTIVE CIR STE D",
"city": "CARY",
"state": "NC",
"postal_code": "275114586",
"telephone_number": "919-514-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JULIA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P007412",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.