Individual provider Active NPI

Sarah Elizabeth Johnson, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1790945848
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015741 Issued in PA
Practice address
5501 Chestnut St
The Consortium
Philadelphia, PA 19139
Phone
(267) 354-2797
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CW015741 PA
Clinical Social Worker 1041C0700X CW015741 PA Primary

Addresses

Primary practice location

5501 Chestnut St
The Consortium
Philadelphia, PA 19139

Mailing address

5501 Chestnut St
The Consortium
Philadelphia, PA 19139-3205
Phone (267) 354-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20120224000331 PA Practitioner - Clinical Social Worker 2567620339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

600 N Jackson St
Suite 300
Media, PA 19063-2530
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015741PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Choices of the Delaware Valley, LLC Clinical CurrentSince May 24, 2018 Accepting new patients
West Philadelphia Community MH Consortium Inc. Community/Behavioral Health CurrentSince Mar 16, 2013 Accepting new patients
West Phila Community Mental Health Consortium, Inc. Community/Behavioral Health CurrentSince Mar 16, 2013 Accepting new patients
Thrive Counseling LLC CurrentSince Jan 22, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

2002 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 626-8085

600 N Jackson St
Ste 300
Media, PA 19063
Phone (610) 557-1991

451 S University Ave
Philadelphia, PA 19104
Phone (215) 596-8000

5501 Chestnut St
Philadelphia, PA 19139
Phone (215) 748-8400

3751 Island Ave
Ste 303
Philadelphia, PA 19153

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1790945848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 CHESTNUT ST",
            "address_2": "THE CONSORTIUM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393205",
            "telephone_number": "267-354-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 CHESTNUT ST",
            "address_2": "THE CONSORTIUM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19139",
            "telephone_number": "267-354-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW015741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.