Elizabeth Johnson-Tyson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001141 Issued in CT

Practice address

34 Murray St
Waterbury, CT 06710-1920

Phone

(203) 756-8317

NPI assigned

Jun 7, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1770932196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FARM MEADOW LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104247",
            "telephone_number": "203-623-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MURRAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101920",
            "telephone_number": "203-756-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-TYSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandeep Kumar Johar, DO
• John a Salerno, MD
• John J. Mazzucco, MD, LLC
• Arslan Johnghar, MD
• Deon Johnson-Allen, APRN
• Aaron Johnson
• Ishmael Johnson
• Joann M Johnson, RPT
• Josica Johnson, LMSW
• Kristina Johnson

• All providers in Waterbury, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.