Active NPI
Heather Johnston, LCSWR
- Clinical Social Worker
- Farmingville, NY
National Provider Identifier
1225330657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-042295
- Practice address
- 15 Horseblock PL
Farmingville, NY 11738-1204 - Phone
- (631) 854-2552
- Fax
- (631) 854-2580
- NPI assigned
- Nov 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R-042295 | NY | Primary |
Addresses
Primary practice location
15 Horseblock PL
Farmingville, NY 11738-1204
Mailing address
15 Horseblock Place
Farmingville, NY 11738
Phone (631) 854-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-042295 | NY | MD | Clinical Social Worker |
| 042295 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1225330657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HORSEBLOCK PLACE",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "11738",
"telephone_number": "631-854-2552",
"fax_number": "631-854-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HORSEBLOCK PL",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117381204",
"telephone_number": "631-854-2552",
"fax_number": "631-854-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "HEATHER",
"credential": "LCSWR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-042295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmingville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.