Individual provider Active NPI

Julie Ann Weckel, LMSW

  • Clinical Social Worker
  • Benton Harbor, MI
National Provider Identifier
1770715443
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085569 Issued in MI
Practice address
7085 Territorial Rd
Benton Harbor, MI 49022-9458
Phone
(269) 313-4002
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 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 6801085569 MI Primary

Addresses

Primary practice location

7085 Territorial Rd
Benton Harbor, MI 49022-9458

Mailing address

7085 Territorial Rd
Benton Harbor, MI 49022-9458
Phone (269) 313-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20091019000080 MI Practitioner - Clinical Social Worker 7012054489 Reassigns benefits to 1 organization
Practice locations: Saint Joseph, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Connections LLCGroup PAC ID 6709124365, 3 clinicians

Practice addresses (Care Compare)

7085 Territorial Rd
Benton Harbor, MI 49022-9458
Phone (269) 313-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085569MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Connections LLC Social Worker CurrentSince Dec 21, 2018 Accepting new patients

Locations

717 Saint Joseph Dr
Saint Joseph, MI 49085
Phone (269) 369-2347

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1770715443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 TERRITORIAL RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229458",
            "telephone_number": "269-313-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 TERRITORIAL RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229458",
            "telephone_number": "269-313-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKEL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

Verify at the official NPI Registry.