Active NPI
Regina S Streeter Johnson, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1790933489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0707331
- Practice address
- 796H Drew St
Brooklyn, NY 11208-4704 - Phone
- (718) 235-3100
- Fax
- (718) 277-0822
- NPI assigned
- Sep 5, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0707331 | NY | Primary |
Addresses
Primary practice location
796H Drew St
Brooklyn, NY 11208-4704
Mailing address
13028 176TH PL
Jamaica, NY 11434-5850
Phone (718) 498-4100
Other names 1
- Regina S Streeter
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 |
|---|---|---|---|
| 0707331 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1790933489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13028 176TH PL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114345850",
"telephone_number": "718-498-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796H DREW ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112084704",
"telephone_number": "718-235-3100",
"fax_number": "718-277-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREETER JOHNSON",
"first_name": "REGINA",
"middle_name": "S",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0707331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "STREETER",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.