Aleta B Johnson, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00792 Issued in RI

Practice address

184 Waterman St
Providence, RI 02906-4051

Phone

(401) 273-5533

Fax

(401) 273-5536

NPI assigned

May 14, 2007

Last updated

Jul 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• William Samuels, MD Inc

  • Adult Mental Health Clinic/Center
  • Providence, RI
  • NPI 1912210386
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1740495399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064051",
            "telephone_number": "401-273-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064051",
            "telephone_number": "401-273-5533",
            "fax_number": "401-273-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALETA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "6290771",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "186464",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Hope Settlement House
• Kristen Mary John, MD
• Meenu Johnkutty, MD
• Wilthonie A Johnson-Goncalves, MSW
• Heather Anne Johnson-Lafreniere, LICSW
• Alexis Johnson, CCHW/CASE MANAGER
• Allison Johnson
• Amillia Johnson
• Amy Rebecca Johnson, MD
• Andrea Lauren Johnson, PHARMD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.