Individual provider Active NPI

Caroline McKinley Johnston, LCSW

  • Clinical Social Worker
  • Stroudsburg, PA
National Provider Identifier
1366885808
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083778-1 Issued in NY
Practice address
39 N 7TH St Ste 201
Stroudsburg, PA 18360-2144
Phone
(570) 664-6658
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019148 PA
Clinical Social Worker 1041C0700X 083778-1 NY Primary

Addresses

Primary practice location

39 N 7TH St Ste 201
Stroudsburg, PA 18360-2144

Mailing address

39 N 7TH St Ste 201
Stroudsburg, PA 18360-2144
Phone (570) 664-6658

Other practice location 1

41 E 11th St
4 Floor
New York, NY 10003-4602
Phone (212) 447-3067

Other practice location 2

10 Plaza St E Ste 1C
Brooklyn, NY 11238-4939
Phone (908) 578-7503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180606000191 PA Practitioner - Clinical Social Worker 9931404050 Reassigns benefits to 1 organization
Practice locations: Stroudsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 N 7TH St
Suite 201 Caroline Johnston LCSW
Stroudsburg, PA 18360-2144
Phone (570) 664-6658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083778NYMDSocial Worker
083778-1NYMDClinical Social Worker
CW019148PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cjohnstontherapy LLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

39 N 7th St
Ste 201
Stroudsburg, PA 18360
Phone (570) 664-6658

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1366885808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N 7TH ST STE 201",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602144",
            "telephone_number": "570-664-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N 7TH ST STE 201",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602144",
            "telephone_number": "570-664-6658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 E 11th St",
            "address_2": "4 Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034602",
            "country_code": "US",
            "telephone_number": "212-447-3067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Plaza St E Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112384939",
            "country_code": "US",
            "telephone_number": "908-578-7503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CAROLINE",
        "middle_name": "MCKINLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019148",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083778-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.