Maria Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080480 Issued in NY

Legal business name

MARIA JOHNSON

Practice address

430 W Merrick Rd
Suite 25
Valley Stream, NY 11580-5201

Phone

(516) 451-1258

Fax

(516) 285-1616

NPI assigned

May 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria G. Johnson, LCSWNPI 1326482845

Title

President

Phone

(516) 451-1258

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria G Johnson, LCSW

  • Clinical Social Worker
  • Valley Stream, NY
  • NPI 1326482845
  NPD (past) Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1013354026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 BAUER CT",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034312",
            "telephone_number": "516-451-1258",
            "fax_number": "516-285-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W MERRICK RD",
            "address_2": "SUITE 25",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805201",
            "telephone_number": "516-451-1258",
            "fax_number": "516-285-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-451-1258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW YORK REGISTRATION CERTIFICATE",
            "identifier": "8118596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Sarita Manzo
• Syeda Apsara Manzoor
• Miriam Marciano, FNP
• Ira E Marder, OPTICIAN
• Valerie Mardi, MSW
• Justine Marini, DC
• Christie Nicole Marino, DPT
• Joseph Marino, M.D.
• Mark Ilyagu Medical PC
• Peter Markovics, MD

• Clinical Social Worker in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.