Active NPI
Linda Ann St. John, LCSW
- School Social Worker
- Staten Island, NY
National Provider Identifier
1790908960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 643282
- Practice address
- 295 Watchogue Rd
Staten Island, NY 10314-3159 - Phone
- (718) 698-1402
- Fax
- (718) 698-1402
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 035702 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC01384900 | NJ | |
| School Social Worker | 1041S0200X | 643282 | NY | Primary |
Addresses
Primary practice location
295 Watchogue Rd
Staten Island, NY 10314-3159
Mailing address
295 Watchogue Rd
Staten Island, NY 10314-3159
Phone (718) 698-1402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035702 | Other | NY | LICENSE NO. |
| 44SC01384900 | Other | NJ | LICENSE NO. |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC01384900 | NJ | MD | Clinical Social Worker |
| 643282 | NY | MD | School Social Worker |
| 035702 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1790908960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 WATCHOGUE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143159",
"telephone_number": "718-698-1402",
"fax_number": "718-698-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 WATCHOGUE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143159",
"telephone_number": "718-698-1402",
"fax_number": "718-698-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. JOHN",
"first_name": "LINDA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "035702",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC01384900",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "643282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "035702",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "44SC01384900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
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- St Vincents Medical Center Staten Island
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- Charlotte F. St. Juste, LCSW
- St. Vincent'S Services
- St. Vincent'S Staten Island Surgery Services
- St.Vincent'S Hospital Westchester
- St.Vincent'S Med Ctr Richmond
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.