Active NPI
Drew M. Johnson LCSW LLC
- Community/Behavioral Health Agency
- Maplewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 44SC05288400
- Legal business name
- DREW M. JOHNSON LCSW LLC
- Practice address
- 2130 Millburn Ave Ste D1
Maplewood, NJ 07040-3749 - Phone
- (973) 763-8123
- Fax
- (973) 763-8243
- NPI assigned
- Mar 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Drew McNeill Johnson, MSW
- Title
- Therapist
- Phone
- (917) 568-7524
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 44SC05288400 | NJ | Primary |
Addresses
Primary practice location
2130 Millburn Ave Ste D1
Maplewood, NJ 07040-3749
Mailing address
94 Midland Blvd
Maplewood, NJ 07040-1810
Phone (917) 568-7524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2115 Millburn Ave
Ste 100
Maplewood, NJ 07040
Phone (973) 704-9589
169 Maplewood Ave
Ste 3
Maplewood, NJ 07040
Phone (917) 568-7524
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Maplewood, NJ
- NPI 1447430798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1184866824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 MIDLAND BLVD",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401810",
"telephone_number": "917-568-7524",
"fax_number": "973-763-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 MILLBURN AVE STE D1",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403749",
"telephone_number": "973-763-8123",
"fax_number": "973-763-8243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREW M. JOHNSON LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DREW",
"authorized_official_middle_name": "MCNEILL",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "917-568-7524",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "44SC05288400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.