MS. JULIE MARIE GULLICKSON (NPI# 1750584645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750584645 |
| Entity Type | Individual |
| Full Name | MS. JULIE MARIE GULLICKSON |
| Practice Address |
7331 Bruno Ave Saint Louis MO 63117-2409 |
| Practice Telephone | 3147817314 |
| Mailing Telephone | 3147817314 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
7331 BRUNO AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780880542 | Robert William Bradshaw Jr. | Counselor | 7331 Bruno Ave, Saint Louis, MO 63117-2409 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667441 | Ronald York Sr. | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1235781055 | Melony Crayton | Case Manager/Care Coordinator | 800 N Tucker Blvd # Stm, Saint Louis, MO 63101-1008 | 2019-07-11 |
| 1265901144 | Maggie Mcgrath | Case Manager/Care Coordinator | 1430 Olive St Ste 4000, Saint Louis, MO 63103-2360 | 2018-11-20 |
| 1518442623 | Laura Lynn Walker | Case Manager/Care Coordinator | 1430 Olive St Ste 44, Saint Louis, MO 63103-2360 | 2018-09-25 |
| 1225517766 | Cecilia Bodet | Case Manager/Care Coordinator | 5605 Lansdowne Ave, Saint Louis, MO 63109-1527 | 2018-08-07 |
| 1114414679 | Jocelyn Acoff | Case Manager/Care Coordinator | 1430 Olive St Ste 600, Saint Louis, MO 63103-2323 | 2018-04-19 |
| 1093248593 | Ryan Dubois | Case Manager/Care Coordinator | 12909 Autumn View Dr, Saint Louis, MO 63146-4331 | 2017-04-11 |
| 1669911780 | Brittaney Booker | Case Manager/Care Coordinator | 4718 Oakridge Blvd, Saint Louis, MO 63121-3011 | 2017-02-22 |
| 1861869349 | Ana Baldeon | Case Manager/Care Coordinator | 9920 Watson Rd Ste 205, Saint Louis, MO 63126-1857 | 2015-08-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.