Active NPI
Julie Schacherer Newcomb, L.C.S.W
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1730466327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15394
- Practice address
- 4024 Central Ave
St Petersburg, FL 33711 - Phone
- (727) 327-7656
- Fax
- (727) 322-2110
- NPI assigned
- Nov 9, 2011
- 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 | CSW004539 | GA | |
| Clinical Social Worker | 1041C0700X | SW15394 | FL | Primary |
Addresses
Primary practice location
4024 Central Ave
St Petersburg, FL 33711
Mailing address
1401 Applewood Dr
Dalton, GA 30720-2699
Phone (706) 270-5008
Other names 1
- Ms. Julie Ann Newcomb
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15394 | FL | MD | Clinical Social Worker |
| CSW004539 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1730466327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 APPLEWOOD DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202699",
"telephone_number": "706-270-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33711",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMB",
"first_name": "JULIE",
"middle_name": "SCHACHERER",
"name_prefix": "Ms.",
"credential": "L.C.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004539",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "NEWCOMB",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.