Julie Derose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15359 Issued in FL

Practice address

12161 Ken Adams Way
Wellington, FL 33414-3194

Phone

(786) 755-1863

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1821574690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 N CONGRESS AVE # 1109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 KEN ADAMS WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143194",
            "telephone_number": "786-755-1863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Belmont Pl",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334367833",
            "country_code": "US",
            "telephone_number": "609-602-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Denobriga, MD
• Brittany Deonarine
• Kimberly A Depatie, LCSW
• Dermatology & Cutaneous Surgery Institute (Dcsi), PA
• Dermatology Center of Wellington PA
• Des Cares LLC
• Desiree Garzon, DPM, PA (County Wide Foot, Ankle, and Wound Care)
• Emily Dettinburn
• Christopher Leonard Devine, D.O.
• Krisha Devore, CRME

• Clinical Social Worker in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.