Basic Information
| Provider Information | |||||||||
| NPI: | 1225589468 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOPPINS | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSW, LISW-S | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 396 | ||||||||
| Address2: | |||||||||
| City: | SPRINGBORO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450660396 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075292125 | ||||||||
| FaxNumber: | 7403800555 | ||||||||
| Practice Location | |||||||||
| Address1: | 1920 S 9TH ST | ||||||||
| Address2: | |||||||||
| City: | IRONTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456382453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404795120 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2016 | ||||||||
| LastUpdateDate: | 03/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | DP00945644 | WV | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | I.1600671 | OH | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | I.1600671 | 01 | OH | MEDICARE, QMB | OTHER | I.1600671 | 05 | OH | MEDICAID |