Individual provider Active NPI

Julianne Lim Yung Opperwall, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1740778000
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801102189 Issued in MI
Practice address
30555 Southfield Rd Ste 325
Southfield, MI 48076-7710
Phone
(248) 320-3916
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 6801102189 MI Primary

Addresses

Primary practice location

30555 Southfield Rd Ste 325
Southfield, MI 48076-7710

Mailing address

30000 Hiveley St
Inkster, MI 48141-1089

Other practice location 1

30000 Hiveley St
Inkster, MI 48141-1089
Phone (734) 728-3400

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
6801102189MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah R. Williams, LMSW, PLLC CurrentSince May 9, 2021 Accepting new patients
Jeong Therapy, LLC Clinical Current Accepting new patients

Locations

30555 Southfield Rd
Ste 325
Southfield, MI 48076
Phone (248) 320-3916

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1740778000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 HIVELEY ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30555 SOUTHFIELD RD STE 325",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767710",
            "telephone_number": "248-320-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30000 Hiveley St",
            "address_purpose": "LOCATION",
            "city": "Inkster",
            "state": "MI",
            "postal_code": "481411089",
            "country_code": "US",
            "telephone_number": "734-728-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPPERWALL",
        "first_name": "JULIANNE",
        "middle_name": "LIM YUNG",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.