Individual provider Active NPI

Julia Riva Hergenrother, LCSWA

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1770479065
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P022152 Issued in NC
Practice address
9306 Spring Meadow Dr
Chapel Hill, NC 27517-2592
Phone
(203) 313-6627
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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 P022152 NC Primary

Addresses

Primary practice location

9306 Spring Meadow Dr
Chapel Hill, NC 27517-2592

Mailing address

9306 Spring Meadow Dr
Chapel Hill, NC 27517-2592
Phone (203) 313-6627

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
P022152NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1770479065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 SPRING MEADOW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172592",
            "telephone_number": "203-313-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 SPRING MEADOW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172592",
            "telephone_number": "203-313-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGENROTHER",
        "first_name": "JULIA",
        "middle_name": "RIVA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.