Individual provider Active NPI

Robert Johnston, MSW, LICSW

  • Clinical Social Worker
  • Andover, MA
National Provider Identifier
1467753533
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103193 Issued in MA
Practice address
300 Brickstone SQ Ste 201
Andover, MA 01810-1497
Phone
(978) 494-4191
Fax
(978) 662-5291
NPI assigned
Nov 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103193 MA Primary

Addresses

Primary practice location

300 Brickstone SQ Ste 201
Andover, MA 01810-1497

Mailing address

131 Rantoul St
Beverly, MA 01915-4240
Phone (978) 921-1293

Other practice location 1

131 Rantoul St
Beverly, MA 01915-4240
Phone (978) 921-1293 ext. 304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141223000132 MA Practitioner - Clinical Social Worker 0345563490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychotherapy Associates of North ReadingGroup PAC ID 5395659049, 8 clinicians

Practice addresses (Care Compare)

5 Market SQ
Amesbury, MA 01913-2405
Phone (978) 664-2566

58 Concord St
North Reading, MA 01864-2602
Phone (978) 664-2566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103193MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates of North Reading Clinical CurrentSince Mar 26, 2014 Accepting new patients

Locations

5 Market Sq
Ste 102
Amesbury, MA 01913
Phone (978) 664-2556

58 Concord St
North Reading, MA 01864
Phone (866) 331-3345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1467753533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 RANTOUL ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154240",
            "telephone_number": "978-921-1293",
            "fax_number": "978-921-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRICKSTONE SQ STE 201",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101497",
            "telephone_number": "978-494-4191",
            "fax_number": "978-662-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Rantoul St",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019154240",
            "country_code": "US",
            "telephone_number": "978-921-1293 x304",
            "fax_number": "978-921-1294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.