Julia MW Foster, LCSW, LADC
Individual provider Active NPI Clinical Social Worker · Portland, ME
NPI 1922491562 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1922491562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC16182 (ME)
- Practice address
- 216 Vaughan St
Portland, ME 04102-3204 - Phone
- (207) 662-4480
- Fax
- (207) 662-3262
- NPI assigned
- Mar 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170609000563 | ME | Practitioner - Clinical Social Worker | 9234407545 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6778 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Alternative Wellness Services | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Catholic Charities Maine | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Mainehealth | Current |
Accepting new patients | |
| Primecare Physician Associates | Past |
Accepting new patients |
Locations
24 Dunn St
Auburn, ME 04210
Phone (207) 784-2901
419 Alfred St
Biddeford, ME 04005
Phone (207) 282-9080
411 Alfred St
Biddeford, ME 04005
Phone (207) 284-4586
216 Vaughan St
Portland, ME 04102
Phone (207) 662-2221
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC6778 | ME | |
| Clinical Social Worker | 1041C0700X | LC16182 | ME | Yes |
Addresses
Primary practice location
216 Vaughan St
Portland, ME 04102-3204
Mailing address
190 Riverside St Unit 6B
Portland, ME 04103-1073
Phone (207) 661-2000
Other practice location 1
640 Brighton Ave Ste 6
Portland, ME 04102-1047
Phone (207) 949-8010
Other names
- Julia Martha Warden
NPI Registry JSON
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1922491562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 RIVERSIDE ST UNIT 6B",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031073",
"telephone_number": "207-661-2000",
"fax_number": "207-661-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 VAUGHAN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023204",
"telephone_number": "207-662-4480",
"fax_number": "207-662-3262"
}
],
"practiceLocations": [
{
"address_1": "640 Brighton Ave Ste 6",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041021047",
"country_code": "US",
"telephone_number": "207-949-8010",
"fax_number": "207-949-8471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSTER",
"first_name": "JULIA",
"middle_name": "MW",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC6778",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC16182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "WARDEN",
"middle_name": "MARTHA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, ME
- Tovah Foss
- Carol Lynne Foster
- Gregory Foster
- James C Foster
- Jeremy G Foster
- Kathleen Foster
- Kimberly A Foster
- Sarah Elizabeth Foulkes
- Foundation First Services LLC
- Andrew Scott Fournier
All providers in Portland, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.