Individual provider Active NPI

Julie Daul, LCSW

  • Clinical Social Worker
  • Pittsboro, NC
National Provider Identifier
1932210499
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004510 Issued in NC
Practice address
35 Thompson St
Suite 201
Pittsboro, NC 27312-5773
Phone
(919) 542-6183
Fax
(919) 542-6184
NPI assigned
Aug 31, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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 C004510 NC Primary

Addresses

Primary practice location

35 Thompson St
Suite 201
Pittsboro, NC 27312-5773

Mailing address

PO Box 802
Pittsboro, NC 27312-0802
Phone (919) 542-6183

Other identifiers 1

IdentifierTypeStateIssuer
6106037MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050524000069 NC Practitioner - Clinical Social Worker 2062454762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Thompson St
Suite 201
Pittsboro, NC 27312-5511
Phone (919) 542-6183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004510NCMDClinical Social Worker

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1932210499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273120802",
            "telephone_number": "919-542-6183",
            "fax_number": "919-542-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 THOMPSON ST",
            "address_2": "SUITE 201",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125773",
            "telephone_number": "919-542-6183",
            "fax_number": "919-542-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUL",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.