Individual provider Active NPI

Elizabeth Layla Johnson, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1275169138
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
109171 Issued in NY
Practice address
978 Dekalb Ave Apt 3
Brooklyn, NY 11221-6404
Phone
(360) 319-6557
NPI assigned
Mar 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109171 NY Primary

Addresses

Primary practice location

978 Dekalb Ave Apt 3
Brooklyn, NY 11221-6404

Mailing address

978 Dekalb Ave Apt 3
Brooklyn, NY 11221-6404
Phone (360) 319-6557

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address el.layla@protonmail.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109171NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1275169138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 DEKALB AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216404",
            "telephone_number": "360-319-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 DEKALB AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216404",
            "telephone_number": "360-319-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "LAYLA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "el.layla@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "email address, fully encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "978 Dekalb Ave Apt 3",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112216404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.