Johanna Bos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078995 Issued in NY

Practice address

493 Nostrand Ave
3Rd Floor
Brooklyn, NY 11216-2014

Phone

(718) 230-1379

Fax

(718) 638-1628

NPI assigned

Sep 19, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in NY, TX, PA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  Medicare reassignment NPD
• MCCD Psychiatry Services PLLC

  dba Talkiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823
  Medicare reassignment NPD
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Forest Hills, NY
  • NPI 1649329806
  Medicare reassignment NPD
• MCCD FL Psychiatry Services PA

  dba Talkiatry

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457

  PA, TX

  Medicare reassignment NPD
• Family Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1114603594
  NPD
• Catholic Charities Neigborhood Services

  • Clinical Social Worker
  • Glendale, NY
  • NPI 1881910131
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1215339346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 NOSTRAND AVE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162014",
            "telephone_number": "718-230-1379",
            "fax_number": "718-638-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 NOSTRAND AVE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162014",
            "telephone_number": "718-230-1379",
            "fax_number": "718-638-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOS",
        "first_name": "JOHANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaffa Borukhova, DDS
• Zhanna Borukhova, FNP
• Lyubomyr Y Boryslavskyy, DDS
• Fruma Borzikowsky, M.S., BCBA
• Bos Comprehensive Diagnostics, Inc.
• Maria A Bosco, OD
• Stephen Christopher Bosco, PHD
• Bethanapalli Bose, CPO
• Sadhana Bose, MD
• Alina Boshakova, RN

• 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 Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.