Individual provider Active NPI

Julie Smith Ackerman, LISW CP

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1952725699
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15839 Issued in SC
Practice address
1320 Main St Ste 300
Columbia, SC 29201-3266
Phone
(657) 237-2450
NPI assigned
Feb 18, 2014
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140410002090 DC Practitioner - Clinical Social Worker 3274765946 Reassigns benefits to 1 organization
I20250603003186 SC Practitioner - Clinical Social Worker 3274765946 Reassigns benefits to 1 organization

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
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

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

OrganizationSpecialtyStatusNew patients
Uplift Health Technologies, Inc. CurrentSince Jan 26, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince May 1, 2025 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.