Active NPI
Johanna Stieg, LMSW
- Clinical Social Worker
- Long Island City, NY
National Provider Identifier
1497080840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 72081875
- Practice address
- 2215 43Rd Ave
Long Island City, NY 11101-5018 - Phone
- (718) 389-5100
- NPI assigned
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 72081875 | NY | Primary |
Addresses
Primary practice location
2215 43Rd Ave
Long Island City, NY 11101-5018
Mailing address
2215 43Rd Ave
Long Island City, NY 11101-5018
Phone (718) 389-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 23, 2025 through May 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72081875 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1497080840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 43RD AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015018",
"telephone_number": "718-389-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 43RD AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015018",
"telephone_number": "718-389-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIEG",
"first_name": "JOHANNA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "72081875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.