Active NPI
Julie Hatfield, LCSW
- Clinical Social Worker
- Meridian, ID
National Provider Identifier
1790237279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-37373
- Practice address
- 2484 N Stokesberry PL Ste 150
Meridian, ID 83646-6084 - Phone
- (208) 391-6504
- Fax
- (208) 649-2805
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-37068 | ID | |
| Clinical Social Worker | 1041C0700X | LCSW-37373 | ID | Primary |
Addresses
Primary practice location
2484 N Stokesberry PL Ste 150
Meridian, ID 83646-6084
Mailing address
2484 N Stokesberry PL Ste 150
Meridian, ID 83646-6084
Phone (208) 391-6504
Other names 1
- Julie Eldredge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2484 N Stokesberry PL
Suite 150
Meridian, ID 83646-6084
Phone (208) 614-0734
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-37373 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LZ Behavioral Health, LLC | Current | Accepting new patients |
Locations
2484 N Stokesberry Pl
Ste 150
Meridian, ID 83646
Phone (208) 614-0734
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1235693284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1790237279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2484 N STOKESBERRY PL STE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466084",
"telephone_number": "208-391-6504",
"fax_number": "208-649-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2484 N STOKESBERRY PL STE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466084",
"telephone_number": "208-391-6504",
"fax_number": "208-649-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "JULIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-37068",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-37373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "ELDREDGE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.