Active NPI
Julie Smith Ackerman, LISW CP
- Clinical Social Worker
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15839
- Practice address
- 1320 Main St Ste 300
Columbia, SC 29201-3266 - Phone
- (657) 237-2450
- NPI assigned
- Feb 18, 2014
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904008487 | VA | |
| Clinical Social Worker | 1041C0700X | 15839 | SC | Primary |
Addresses
Primary practice location
1320 Main St Ste 300
Columbia, SC 29201-3266
Mailing address
3580 Joseph Siewick Dr Ste 5
Fairfax, VA 22033-1717
Phone (703) 391-4574
Other practice location 1
3580 Joseph Siewick Dr Ste 5
Fairfax, VA 22033-1717
Phone (703) 391-4574
Other names 1
- Julie Smith Guido
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4464 Devine St
Suite M
Columbia, SC 29205-3605
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uplift Health Technologies, Inc. | Current | Accepting new patients | |
| Brightside Medical, P.C. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1050 30th St NW
Washington, DC 20007
Phone (202) 410-5972
85 5th Ave
Fl 8
New York, NY 10003
Phone (212) 993-7809
4464 Devine St
Ste M
Columbia, SC 29205
Phone (803) 386-7146
3033 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (202) 410-5972
Interoperability endpoints
- ms_jackerm5@landmarkhealth-direct.org
Organizations & group practices 2
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": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1952725699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 JOSEPH SIEWICK DR STE 5",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331717",
"telephone_number": "703-391-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MAIN ST STE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013266",
"telephone_number": "657-237-2450"
}
],
"practiceLocations": [
{
"address_1": "3580 Joseph Siewick Dr Ste 5",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331717",
"country_code": "US",
"telephone_number": "703-391-4574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACKERMAN",
"first_name": "JULIE",
"middle_name": "SMITH",
"credential": "LISW CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904008487",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "15839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "GUIDO",
"middle_name": "SMITH",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.