Individual provider Active NPI

Julie K. Pratt, L.I.S.W.

  • Clinical Social Worker
  • Maumee, OH
National Provider Identifier
1861617953
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0009238 Issued in OH
Practice address
1705 Indian Wood Cir Ste 200
Maumee, OH 43537-4046
Phone
(419) 969-7243
Fax
(419) 740-1988
NPI assigned
Apr 16, 2007
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 0009238 OH Primary

Addresses

Primary practice location

1705 Indian Wood Cir Ste 200
Maumee, OH 43537-4046

Mailing address

1705 Indian Wood Cir Ste 200
Maumee, OH 43537-4046
Phone (419) 969-7243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170710001599 OH Practitioner - Clinical Social Worker 5597034413 Practice locations: Maumee, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1705 Indian Wood Cir
Suite 200
Maumee, OH 43537-4046
Phone (419) 969-7243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0009238OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Counseling and Wellness Services LLC CurrentSince Dec 13, 2020 Accepting new patients

Locations

1705 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (419) 969-7243

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1861617953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 INDIAN WOOD CIR STE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374046",
            "telephone_number": "419-969-7243",
            "fax_number": "419-740-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 INDIAN WOOD CIR STE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374046",
            "telephone_number": "419-969-7243",
            "fax_number": "419-740-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JULIE",
        "middle_name": "K.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0009238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.