Anew Julie Riddle MSW Licsw PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANEW JULIE RIDDLE MSW LICSW PLLC

Practice address

117 N Washington St Ste C
Grand Forks, ND 58203-3450

Phone

(701) 248-6040

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Riddle, MSW, LICSWNPI 1669662284

Title

Owner

Phone

(701) 248-6040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Riddle, LICSW

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1669662284
  Medicare reassignment NPD Authorized official
• Angela Nicole Muhs, LICSW

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1457365082
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1932768645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033450",
            "telephone_number": "701-248-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW JULIE RIDDLE MSW LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-248-6040",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Anderson, DPT
• Laura K. Andreson, D.O.
• Heidi L Andruski, CRNA
• Charlie Joseph Andrys
• Anew Angela Muhs Licsw PLLC
• Jennifer Joy Anhorn, SLP
• Rebecca Annis, LCSW
• Andrea Anthony, RN
• David R Antonenko, MD
• Anv Services LLC (Advanced Neuro-Vision Systems)

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.