Julia B St John, LCSW

Individual provider Active NPI Social Worker · Jackman, ME

NPI 1821458506 · NPPES record last updated Aug 29, 2018

Key facts

NPI
1821458506
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
LC17237 (ME)
Practice address
376 Main St
Jackman, ME 04945
Phone
(207) 668-7755
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100 (group)
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180914000981 ME Practitioner - Clinical Social Worker 6406106392 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
MC15951MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Healthcare, Inc Current
since Apr 7, 2019
Accepting new patients
Mercy Hospital Current
since Apr 2, 2023
Accepting new patients
Acadia Hospital Corp Current
since Apr 1, 2020
Accepting new patients
Mercy Hospital Current Accepting new patients
Mercy Hospital Current
since Apr 2, 2023
Accepting new patients
Portland Institute for Psychotherapy and Training, LLC Clinical Past Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC15951 ME
Social Worker 104100000X LC17237 ME Yes

Addresses

Primary practice location

376 Main St
Jackman, ME 04945

Mailing address

P.O. Box 1599
Bangor, ME 04402
Phone (207) 404-8200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2018.

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1821458506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04402",
            "telephone_number": "207-404-8200",
            "fax_number": "207-947-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 MAIN ST",
            "city": "JACKMAN",
            "state": "ME",
            "postal_code": "04945",
            "telephone_number": "207-668-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHN",
        "first_name": "JULIA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15951",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC17237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackman, ME

All providers in Jackman, ME · Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.