Individual provider Active NPI

Julie K Fahlmann, LCSW-R

  • Clinical Social Worker
  • Hudson Falls, NY
National Provider Identifier
1942465794
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2 Clark Street
Hudson Falls Central School-MMM Kindergarten Center
Hudson Falls, NY 12839
Phone
(518) 681-4500
Fax
(518) 747-3853
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 Primary

Addresses

Primary practice location

2 Clark Street
Hudson Falls Central School-MMM Kindergarten Center
Hudson Falls, NY 12839

Mailing address

1153 Burgoyne Ave
Fort Edward, NY 12828-1137
Phone (518) 747-2121

Other identifiers 1

IdentifierTypeStateIssuer
01420800MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Fahlmann Clinical Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1942465794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 BURGOYNE AVE",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281137",
            "telephone_number": "518-747-2121",
            "fax_number": "518-747-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CLARK STREET",
            "address_2": "HUDSON FALLS CENTRAL SCHOOL-MMM KINDERGARTEN CENTER",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "12839",
            "telephone_number": "518-681-4500",
            "fax_number": "518-747-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHLMANN",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.