Individual provider Active NPI

Ramona Anna Stills-Johnson, LCSW

  • Clinical Social Worker
  • Saint James, NY
National Provider Identifier
1033413901
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039199-1 Issued in NY
Practice address
891 Middle Country Rd
Saint James, NY 11780-3213
Phone
(631) 365-0220
Fax
(631) 863-0797
NPI assigned
Jan 6, 2011
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R039199-1 NY Primary

Addresses

Primary practice location

891 Middle Country Rd
Saint James, NY 11780-3213

Mailing address

19 Coventry LN
Smithtown, NY 11787-3885
Phone (631) 365-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130830000315 NY Practitioner - Clinical Social Worker 4486897915 Practice locations: Saint James, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

891 Middle Country Rd
Saint James, NY 11780-3213
Phone (631) 365-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R039199-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Dalton Morabito CSW PC CurrentSince Jun 3, 2025 Accepting new patients
Ramona Stills-Johnson LLC Clinical CurrentSince Jun 3, 2025 Accepting new patients
Adults and Children With Learning and Developmental Disabilites, Inc. Past Accepting new patients
Acld Kramer Learning Center Past Accepting new patients

Locations

891 Middle Country Rd
Saint James, NY 11780
Phone (516) 551-0168

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1033413901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COVENTRY LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873885",
            "telephone_number": "631-365-0220",
            "fax_number": "631-863-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MIDDLE COUNTRY RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803213",
            "telephone_number": "631-365-0220",
            "fax_number": "631-863-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLS-JOHNSON",
        "first_name": "RAMONA",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039199-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

Verify at the official NPI Registry.