Julia Carmody, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801099806 Issued in MI

Practice address

1651 E Nickerson Ave
Benton Harbor, MI 49022-2469

Phone

(269) 983-5833

NPI assigned

Jul 13, 2016

Last updated

Aug 18, 2016By the provider in NPPES

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

Other names 1

• Julia La Bounty Former name

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

• Logan Community Resources

  • Behavior Analyst
  • South Bend, IN
  • NPI 1639558331
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1891147997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 BEECHNUT DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859374",
            "telephone_number": "269-362-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E NICKERSON AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222469",
            "telephone_number": "269-983-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "JULIA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "LA BOUNTY",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristian Capitonoff
• Caringworks Counseling Services, LLC
• Jacob Daniel Carlisle, DDS
• Cody Carlson
• Gretchen L Carlson, LLP
• Crystal Carpenter
• Luis Carral, DMD
• Rremedios Guadalupe Carrillo Hernandez
• Jose Angel Carrizales, OTR/R
• Elizabeth N Carteaux

• Social Worker in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.