Individual provider Active NPI

Julia Constable-Allen

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1972198349
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11103 Issued in MD
Practice address
9832 Mainsail Dr
Gaithersburg, MD 20879-1139
Phone
(301) 208-0289
NPI assigned
Mar 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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 11103 MD Primary

Addresses

Primary practice location

9832 Mainsail Dr
Gaithersburg, MD 20879-1139

Mailing address

9832 Mainsail Dr
Gaithersburg, MD 20879-1139
Phone (301) 208-0289

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliac@gbehrensandassociates.com Direct

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

State licenses

LicenseStateTypeSpecialty
11103MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1972198349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 MAINSAIL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791139",
            "telephone_number": "301-208-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 MAINSAIL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791139",
            "telephone_number": "301-208-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTABLE-ALLEN",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliac@gbehrensandassociates.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9832 Mainsail Dr",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208791139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.