Individual provider Active NPI

Julie Hatfield, LCSW

  • Clinical Social Worker
  • Meridian, ID
National Provider Identifier
1790237279
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-37373 Issued in ID
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

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180410001923 ID Practitioner - Clinical Social Worker 3870856537 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LCSW-37373IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LZ Behavioral Health, LLC CurrentSince Aug 2, 2024 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.

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

Verify at the official NPI Registry.