Active NPI
Jason Johnson, LCSW
- Clinical Social Worker
- Elmwood Park, NJ
National Provider Identifier
1649596958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05409700
- Practice address
- 90 Orchard St FL 1
Elmwood Park, NJ 07407-2113 - Phone
- (201) 315-4151
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Clinical Social Worker | 1041C0700X | 44SC05409700 | NJ | Primary |
Addresses
Primary practice location
90 Orchard St FL 1
Elmwood Park, NJ 07407-2113
Mailing address
90 Orchard St FL 1
Elmwood Park, NJ 07407-2113
Phone (201) 315-4151
Other practice location 1
46 Hammell Pl
Maywood, NJ 07607-1810
Phone (201) 315-4151
Other practice location 2
46 Hammell Pl
Maywood, NJ 07607-1810
Phone (201) 315-4151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The in-Home Parent Coach | In Home Supportive Care | Past | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Elmwood Park, NJ
- NPI 1861867004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649596958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 ORCHARD ST FL 1",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074072113",
"telephone_number": "201-315-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 ORCHARD ST FL 1",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074072113",
"telephone_number": "201-315-4151"
}
],
"practiceLocations": [
{
"address_1": "46 Hammell Pl",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "NJ",
"postal_code": "076071810",
"country_code": "US",
"telephone_number": "201-315-4151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46 Hammell Pl",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "NJ",
"postal_code": "076071810",
"country_code": "US",
"telephone_number": "201-315-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JASON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05409700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.