Julie Ann St. John

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077795-1 Issued in NY

Practice address

5360 Genessee Street
Bowmansville, NY 14026-1044

Phone

(716) 681-5077

Fax

(716) 681-5079

NPI assigned

Mar 5, 2007

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Julie Ann Jezerski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1720117500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVENUE",
            "address_2": "SUITE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254985",
            "telephone_number": "716-895-7167",
            "fax_number": "716-332-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 GENESSEE STREET",
            "city": "BOWMANSVILLE",
            "state": "NY",
            "postal_code": "140261044",
            "telephone_number": "716-681-5077",
            "fax_number": "716-681-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077795-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "JEZERSKI",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Roaldi, PA
• Meghan Root
• John Schwab, D.O.
• Teresa Siejak
• Brittney Lee Soodsma, OTR/L
• Denise Stankiewicz, M.S.
• Christina D Stasiuk, PT, DPT
• Laurie Aileen Streebel, MS, CCC/SLP NYS LIC
• Michael D. Terranova, M.D.
• Kimberly Ann Wilson, MHC

• Clinical Social Worker in Bowmansville, NY
• Providers in Bowmansville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.