Individual provider Active NPI

Julie Elizabeth Persampieri, LICSW

  • Clinical Social Worker
  • Bridgewater, MA
National Provider Identifier
1730527052
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119895 Issued in MA
Practice address
20 Scotland Blvd Ste 1
Bridgewater, MA 02324-4303
Phone
(508) 930-2272
NPI assigned
Jun 8, 2013
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 119895 MA Primary

Addresses

Primary practice location

20 Scotland Blvd Ste 1
Bridgewater, MA 02324-4303

Mailing address

95 Goldfinch Dr
Raynham, MA 02767-6134

Other names 1

  • Julie Elizabeth Lowe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice

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

LicenseStateTypeSpecialty
119895MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Counseling & Play Therapy Clinical CurrentSince Sep 20, 2022 Accepting new patients

Locations

20 Scotland Blvd
Ste 1
Bridgewater, MA 02324
Phone (508) 930-2272

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": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1730527052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GOLDFINCH DR",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027676134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCOTLAND BLVD STE 1",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023244303",
            "telephone_number": "508-930-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAMPIERI",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-08",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "20 Scotland Blvd Ste 1",
            "city": "Bridgewater",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023244303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LOWE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.