Individual provider Active NPI

Julie K Cicero, LICSW

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1962657031
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWI.LW.60031219 Issued in WA
Practice address
1111 W Spruce St Ste 30
Yakima, WA 98902-3264
Phone
(253) 831-3852
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 SWI.LW.60031219 WA Primary

Addresses

Primary practice location

1111 W Spruce St Ste 30
Yakima, WA 98902-3264

Mailing address

1111 W Spruce St Ste 30
Yakima, WA 98902-3264
Phone (253) 831-3852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20090121000648 WA Practitioner - Clinical Social Worker 4183788029 Reassigns benefits to 1 organization
Practice locations: Yakima, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 N 50TH Ave
Yakima, WA 98908-2862
Phone (253) 831-3852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60031219WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cicero Counseling and Forensic Evaluation LLC CurrentSince Apr 1, 2020 Accepting new patients
Commonspirit Washington Past Accepting new patients

Locations

129 N 50TH Ave
Yakima, WA 98908
Phone (253) 831-3852

1111 W Spruce St
Ste 30
Yakima, WA 98902
Phone (509) 575-1922

129 N 50TH Ave
Yakima, WA 98908
Phone (253) 831-3852

402 E Yakima Ave
Ste 800
Yakima, WA 98901
Phone (253) 831-3852

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1962657031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W SPRUCE ST STE 30",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023264",
            "telephone_number": "253-831-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W SPRUCE ST STE 30",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023264",
            "telephone_number": "253-831-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERO",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.60031219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.