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JULIE DUNHAM LCSW
NPI 1124848221
Social Worker - Clinical in Mount Pleasant, WI

Active since October 14, 2024PECOS EnrolledAccepts Medicare Assignment
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406(262) 884-4000 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Julie Dunham Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE DUNHAM LCSW (NPI 1124848221) is an individual clinical provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (11203) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1124848221
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJULIE DUNHAMCredential: LCSW
Location Address8400 WASHINGTON AVEMount Pleasant, WI 53406-3735
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 884-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 14, 2024
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1124848221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 11203
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
8400 WASHINGTON AVE, Mount Pleasant, WI 53406
Open in Google Maps ↗

Other Identifiers 1

Medicaid100265146WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie Dunham Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254866122
PECOS Enrollment IDI20241202001838
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Julie Dunham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
19 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NANDITA BATCHRA MD
Otolaryngology
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
ALLISON MARIE BLONSKI MD
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
DR. REBECCA LINDSEY LESCHER M.D.
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
MS. PRIYA RAMDASS M.D
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 321-3000
DR. MATTHEW ADAM PILECKI MD
Pain Medicine (Interventional Pain Medicine)
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
AMY P KELLY DO
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 321-3000
MICHAEL MULLANE MD
Medical Genetics (Clinical Genetics (M.D.))
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-8340
RACHEL R GAGE APN
Nurse Practitioner
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 321-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Dunham's NPI number?

The NPI number for Julie Dunham is 1124848221. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Julie Dunham located?

Julie Dunham practices at 8400 Washington Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 884-4000.

What is Julie Dunham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Julie Dunham enrolled in Medicare?

Yes. Julie Dunham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Julie Dunham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Dunham reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Dunham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Dunham accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Julie Dunham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Dunham was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.