Mary A Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21680 Issued in FL

Practice address

5956 Colony CT
Boca Raton, FL 33433-5204

Phone

(305) 753-0544

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.johnson.1@29601.direct.athenahealth.com

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.

• Author Health Professionals, PC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1740897321
  Medicare reassignment Care Compare group
• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment NPD
• Direct Access Counseling & Supportive Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, FL
  • NPI 1679011449

  Social Worker

  Medicare reassignment NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1356482830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5956 COLONY CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335204",
            "telephone_number": "305-753-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5956 COLONY CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335204",
            "telephone_number": "305-753-0544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162619",
            "country_code": "US",
            "telephone_number": "954-712-5033",
            "fax_number": "954-779-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "21680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762622300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Marie Johnson, MSN, APRN, APN-BC
• Jeanette Johnson
• Jemira Johnson Johnson
• Joshua Ilan Johnson
• Julia Johnson, PA
• Patrice Johnson
• Shawntira Johnson, MD
• Zachory Todd Johnson, NP
• Faye E. Johnston, LMHC
• James Noah Johnston, CAA

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.