Individual provider Active NPI

Julie Vong

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1780934117
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37203 Issued in CA
Practice address
1603 California Ave Ste 137
Bakersfield, CA 93304-1346
Phone
(661) 404-4123
Fax
(661) 404-4123
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 37203 CA Primary

Addresses

Primary practice location

1603 California Ave Ste 137
Bakersfield, CA 93304-1346

Mailing address

1603 California Ave Ste 137
Bakersfield, CA 93304-1346
Phone (661) 404-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191227002212 CA Practitioner - Clinical Social Worker 8022442011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guided Growth Therapy Group a Psychology CorporationGroup PAC ID 6901308717, 9 clinicians

Practice addresses (Care Compare)

22939 Banyan PL
Unit 289
Santa Clarita, CA 91390-4266
Phone 66140441230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37203CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Growth Therapy Group a Psychology Corporation Clinical CurrentSince Jul 12, 2025 Accepting new patients
Guided Growth Therapy Group Clinical CurrentSince Oct 4, 2024 Accepting new patients

Locations

1603 California Ave
Ste 137
Bakersfield, CA 93304
Phone (661) 404-4123

1801 Julian Ave
Bakersfield, CA 93304
Phone (661) 831-9150

Interoperability endpoints

  • Direct secure messaging: julie.vong.p1@direct.omnifamilyhealth.nextgenshare.com

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1780934117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 CALIFORNIA AVE STE 137",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041346",
            "telephone_number": "661-404-4123",
            "fax_number": "661-404-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CALIFORNIA AVE STE 137",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041346",
            "telephone_number": "661-404-4123",
            "fax_number": "661-404-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONG",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "37203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.