Active NPI
Keisha A. Johnson, LMSW
- Social Worker
- Yonkers, NY
National Provider Identifier
1801020813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 068506-1
- Practice address
- 135 Locust Hill Avenue
Martin Luther King Elementary School C/O WJCS
Yonkers, NY 10701 - Phone
- (914) 376-5124
- Fax
- (914) 457-2386
- NPI assigned
- May 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 068506-1 | NY | Primary |
Addresses
Primary practice location
135 Locust Hill Avenue
Martin Luther King Elementary School C/O WJCS
Yonkers, NY 10701
Mailing address
117 Ravine Avenue
Apt. Vb5E
Yonkers, NY 10701
Phone (914) 376-5124
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 |
|---|---|---|---|
| 068506-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1801020813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 RAVINE AVENUE",
"address_2": "APT. VB5E",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-376-5124",
"fax_number": "914-457-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 LOCUST HILL AVENUE",
"address_2": "MARTIN LUTHER KING ELEMENTARY SCHOOL C/O WJCS",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-376-5124",
"fax_number": "914-457-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KEISHA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "068506-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.