Individual provider Active NPI

Steven Johnson, LCSW

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1023267382
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17421 Issued in FL
Practice address
604 NE 27TH St
Wilton Manors, FL 33334-2515
Phone
(954) 300-2006
Fax
(410) 962-1269
NPI assigned
Sep 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10900 MD
Clinical Social Worker 1041C0700X 17421 FL Primary

Addresses

Primary practice location

604 NE 27TH St
Wilton Manors, FL 33334-2515

Mailing address

4737 N Ocean Dr # 1019
Lauderdale by the Sea, FL 33308-2920
Phone (410) 382-9934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230421000949 FL Practitioner - Clinical Social Worker 4981646171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17421FLMDClinical Social Worker
10900MDMDClinical Social Worker
10900TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling Services LLC CurrentSince Sep 1, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Oct 31, 2024 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Mar 1, 2023 Accepting new patients
A & B Counseling LLC PastSince Sep 1, 2024 Accepting new patients

Locations

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

Networks

  • FL PPO

Organizations & group practices 4

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1023267382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 N OCEAN DR # 1019",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082920",
            "telephone_number": "410-382-9934",
            "fax_number": "410-962-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 NE 27TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333342515",
            "telephone_number": "954-300-2006",
            "fax_number": "410-962-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "17421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.