Individual provider Active NPI

Lia Johnson

  • Social Worker
  • Bronx, NY
National Provider Identifier
1508509480
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111808 Issued in NY
Practice address
2488 Grand Concourse
Bronx, NY 10458-5203
Phone
(718) 881-7600
NPI assigned
Apr 18, 2022
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 111808 NY Primary

Addresses

Primary practice location

2488 Grand Concourse
Bronx, NY 10458-5203

Mailing address

2488 Grand Concourse FL 2
Bronx, NY 10458-5203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250407000197 NY Practitioner - Clinical Social Worker 9739603218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Hospital YonkersGroup PAC ID 0547156176, 59 clinicians

Practice addresses (Care Compare)

107 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111808NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital & Medical Center CurrentSince Feb 5, 2025 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince Feb 5, 2025 Accepting new patients

Locations

275 North St
Harrison, NY 10528
Phone (914) 925-5211

107 S Broadway
Yonkers, NY 10701
Phone (914) 378-7110

107 S Broadway
Lowr
Yonkers, NY 10701

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Interoperability endpoints

  • Direct secure messaging: lia.johnson.d1.p1@direct.saintjosephs.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1508509480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 GRAND CONCOURSE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585203",
            "telephone_number": "718-881-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.