Active NPI
Rebecca A Julian, LCSW-C
- Clinical Social Worker
- Centreville, MD
National Provider Identifier
1851417174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13638
- Practice address
- 205 E Water St Ste C
Centreville, MD 21617-1155 - Phone
- (410) 490-7357
- Fax
- (410) 356-2513
- NPI assigned
- Mar 21, 2007
- 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 | 0904006255 | VA | |
| Clinical Social Worker | 1041C0700X | 13638 | MD | Primary |
Addresses
Primary practice location
205 E Water St Ste C
Centreville, MD 21617-1155
Mailing address
PO Box 511
Centreville, MD 21617-0511
Phone (410) 490-7357
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413942900 | Medicaid | MD | |
| 600195 | Other | MD | VALUE OPTIONS |
| AX12-0001 | Other | MD | CAREFIRST BCBS |
| 2927813 | Other | MD | CIGNA |
Other names 1
- Rebecca Cook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006255 | VA | MD | Clinical Social Worker |
| 13638 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1851417174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216170511",
"telephone_number": "410-490-7357",
"fax_number": "410-356-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E WATER ST STE C",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216171155",
"telephone_number": "410-490-7357",
"fax_number": "410-356-2513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIAN",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006255",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413942900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "600195",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "AX12-0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2927813",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "COOK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centreville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.