Julie L Janzen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2006016127 Issued in MO

Practice address

714 N Pomme de Terre Ave
Bolivar, MO 65613-1241

Phone

(417) 326-7272

Fax

(471) 326-2193

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Comprehensive Wellness Clinic

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1619062445
  NPD (past)
• Northwoods Psychiatric Services Inc

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1417902305

  Clinical

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861575474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130049",
            "telephone_number": "417-326-7272",
            "fax_number": "417-326-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N POMME DE TERRE AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131241",
            "telephone_number": "417-326-7272",
            "fax_number": "471-326-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANZEN",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006016127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO STATE LICENSE",
            "identifier": "2006016127",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Frank Howell, PSYD
• Johnnie Jo Hudgings, ATC
• Dylan Huggins, PHARMD
• Erica Humphreys, PHARM.D.
• Kyla Inman
• Jessica Jennings, MS, RD, LD
• Zachary Jennings
• Todd Allen John, ATC/L
• Justin Lee Johns, LCSW
• Gbemisola Oluwakemi Johnson, MD

• Clinical Social Worker in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.