Individual provider Active NPI

Christine Sawicki, LCSW

  • Clinical Social Worker
  • Johnson City, NY
National Provider Identifier
1548632177
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092197-1 Issued in NY
Practice address
167 Oakdale Rd
Johnson City, NY 13790-1007
Phone
(607) 205-4453
Fax
(607) 306-2063
NPI assigned
Oct 22, 2015
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 091452 NY
Clinical Social Worker 1041C0700X 092197-1 NY Primary

Addresses

Primary practice location

167 Oakdale Rd
Johnson City, NY 13790-1007

Mailing address

167 Oakdale Rd
Johnson City, NY 13790-1007
Phone (607) 205-4453

Other practice location 1

208 Albany Ave Fl 2
Johnson City, NY 13790-1560
Phone (607) 205-4453

Other practice location 2

5 Court St
Norwich, NY 13815-1695
Phone (607) 337-1600

Other practice location 3

257 Main St
Binghamton, NY 13905
Phone (607) 629-6206

Other identifiers 2

IdentifierTypeStateIssuer
092197-1OtherNYNEW YORK STATE LICENSE NUMBER LCSW
091452-1OtherNYNEW YORK STATE LICENSE NUMBER

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
I20260317000085 NY Order and Referring Only - Clinical Social Worker 2769871870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092197NYMDClinical Social Worker
092197-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Journey Through Psychological Services LLC Clinical CurrentSince Jul 7, 2024 Accepting new patients

Locations

167 Oakdale Rd
Johnson City, NY 13790
Phone (607) 427-4430

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1548632177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 OAKDALE RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901007",
            "telephone_number": "607-205-4453",
            "fax_number": "607-306-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 OAKDALE RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901007",
            "telephone_number": "607-205-4453",
            "fax_number": "607-306-2063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Albany Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137901560",
            "country_code": "US",
            "telephone_number": "607-205-4453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Court St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "NY",
            "postal_code": "138151695",
            "country_code": "US",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 Main St",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "13905",
            "country_code": "US",
            "telephone_number": "607-629-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAWICKI",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2024-01-12",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "091452",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092197-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE NUMBER LCSW",
            "identifier": "092197-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE NUMBER",
            "identifier": "091452-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.