Tracey Lynn Johnson, SOCIAL WORKER LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R050672-1 Issued in NY

Practice address

284 Carlton Ave Apt 1
Brooklyn, NY 11205-4619

Phone

(646) 425-3482

Fax

(347) 725-4791

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1124528948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 CARLTON AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054619",
            "telephone_number": "646-425-3482",
            "fax_number": "347-725-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 CARLTON AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054619",
            "telephone_number": "646-425-3482",
            "fax_number": "347-725-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "SOCIAL WORKER LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanika Johnson
• Tarez Johnson
• Tasha Aisha Johnson, LPN
• Tiffany Johnson
• Tineka Johnson, NYCPS-P
• Trudy Johnson, RRT
• Tyrone Johnson, DPM
• Valsa Johnson
• Viola Eunice Johnson, MSED
• Willa Johnson, LCSWR

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 19, 2018; 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.