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

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.

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 IDStateProvider typePAC IDDetails
I20170609000563 ME Practitioner - Clinical Social Worker 9234407545 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LC6778MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current
since Jan 19, 2019
Accepting new patients
Alternative Wellness Services Current
since Dec 7, 2018
Accepting new patients
Mainehealth Current Accepting new patients
Catholic Charities Maine Addiction (Substance Use Disorder) Current
since Mar 14, 2017
Accepting new patients
Mainehealth Current
since Jan 19, 2019
Accepting new patients
Primecare Physician Associates Past
since Dec 7, 2018
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)CodeLicenseStatePrimary
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 Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2019.

{
    "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

All providers in Portland, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.