Individual provider Active NPI

Julie Kugler-Bentley, LCSW-C

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1730199548
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07998 Issued in MD
Practice address
113 S Prospect St
Hagerstown, MD 21740-5409
Phone
(240) 301-9464
Fax
(301) 745-4110
NPI assigned
Aug 8, 2006
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07998 MD Primary

Addresses

Primary practice location

113 S Prospect St
Hagerstown, MD 21740-5409

Mailing address

113 S Prospect St
Hagerstown, MD 21740-5409
Phone (240) 301-9464

Other practice location 1

11116 Medical Campus Rd
Suite 2989
Hagerstown, MD 21742-6710
Phone (301) 766-7600

Other identifiers 3

IdentifierTypeStateIssuer
PHCS2234989OtherMDPHCS
549296-01OtherMDBCBS
000395600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240926002650 MD Practitioner - Clinical Social Worker 6709327091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

113 S Prospect St
Hagerstown, MD 21740-5409
Phone (240) 301-9464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Kugler-Bentley LLC Clinical CurrentSince Aug 22, 2024 Accepting new patients

Locations

113 S Prospect St
Hagerstown, MD 21740
Phone (301) 745-1900

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1730199548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S PROSPECT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405409",
            "telephone_number": "240-301-9464",
            "fax_number": "301-745-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S PROSPECT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405409",
            "telephone_number": "240-301-9464",
            "fax_number": "301-745-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11116 Medical Campus Rd",
            "address_2": "Suite 2989",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426710",
            "country_code": "US",
            "telephone_number": "301-766-7600",
            "fax_number": "301-766-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUGLER-BENTLEY",
        "first_name": "JULIE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "PHCS2234989",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "549296-01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000395600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.