Individual provider Active NPI

Julie Marie Shaw, LMSW

  • Clinical Social Worker
  • Caseville, MI
National Provider Identifier
1992325484
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109131 Issued in MI
Practice address
5843 Dunn Rd
Caseville, MI 48725-9706
Phone
(989) 551-8827
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 6801109131 MI Primary

Addresses

Primary practice location

5843 Dunn Rd
Caseville, MI 48725-9706

Mailing address

5843 Dunn Rd
Caseville, MI 48725-9706
Phone (989) 551-8827

Other names 1

  • Julie Marie McComb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210427003091 MI Practitioner - Clinical Social Worker 4385052505 Reassigns benefits to 1 organization
Practice locations: Caseville, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5843 Dunn Rd
Caseville, MI 48725-9706
Phone (989) 551-8827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thumb Area Psychological Services, LLC Clinical CurrentSince Apr 5, 2021 Accepting new patients
Peaks Therapy, L.L.C. CurrentSince Sep 1, 2024 Accepting new patients

Locations

2762 Pigeon Rd
Bad Axe, MI 48413
Phone (989) 269-9138

6627 Rose St
Cass City, MI 48726
Phone (989) 872-1800

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1992325484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 DUNN RD",
            "city": "CASEVILLE",
            "state": "MI",
            "postal_code": "487259706",
            "telephone_number": "989-551-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5843 DUNN RD",
            "city": "CASEVILLE",
            "state": "MI",
            "postal_code": "487259706",
            "telephone_number": "989-551-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MCCOMB",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caseville, MI

Sources for this page

Verify at the official NPI Registry.