Sylvia Ann Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088679 Issued in NY

Practice address

121 Driving Park Ave
Rochester, NY 14613-2030

Phone

(585) 633-8776

Fax

(585) 295-9770

NPI assigned

Feb 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivolve Me LLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1659965960
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1710345384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DRIVING PARK AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146132030",
            "telephone_number": "585-633-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DRIVING PARK AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146132030",
            "telephone_number": "585-633-8776",
            "fax_number": "585-295-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146081162",
            "country_code": "US",
            "telephone_number": "585-423-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SYLVIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantee Latrice Johnson, RN
• Sheila D Johnson, RN
• Shonda Charmaine Johnson
• Stacy Ann Johnson, R.N.
• Stephanie Johnson
• Tamara Johnson
• Tiffanie Johnson
• Tiffany Lashee Johnson, RN
• Tina Johnson
• Tishanna Johnson, LPN

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.