Individual provider Active NPI

Julie Emmer, LCSW

  • Clinical Social Worker
  • Fern Park, FL
National Provider Identifier
1902945264
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 8179 Issued in FL
Practice address
237 Fernwood Blvd
Fern Park, FL 32730-2116
Phone
(407) 831-2411
Fax
(407) 831-0195
NPI assigned
Feb 5, 2007
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 8179 FL Primary
Clinical Social Worker 1041C0700X 07185 MD

Addresses

Primary practice location

237 Fernwood Blvd
Fern Park, FL 32730-2116

Mailing address

205 Ranch Rd
Winter Park, FL 32792-5715
Phone (407) 831-2411

Other identifiers 1

IdentifierTypeStateIssuer
768005800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171208000220 FL Practitioner - Clinical Social Worker 3779840210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2700 Westhall LN
Suite 110
Maitland, FL 32751-7403
Phone (407) 475-1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 8179FLMDClinical Social Worker
07185MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Emmer LLC CurrentSince Oct 10, 2017 Accepting new patients

Locations

2700 Westhall Ln
Ste 110
Maitland, FL 32751
Phone (407) 475-1025

Networks

  • Freedom Health HMO Network

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1902945264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925715",
            "telephone_number": "407-831-2411",
            "fax_number": "407-831-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 FERNWOOD BLVD",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302116",
            "telephone_number": "407-831-2411",
            "fax_number": "407-831-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMER",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8179",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768005800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fern Park, FL

Sources for this page

Verify at the official NPI Registry.