Active NPI
Tarra Downey Johnson, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1861911414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 099862
- Practice address
- 2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941 - Phone
- (212) 553-6708
- Fax
- (212) 222-1683
- NPI assigned
- Sep 14, 2017
- 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 | 099862 | NY | Primary |
Addresses
Primary practice location
2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941
Mailing address
273 Hull St Apt 3
Brooklyn, NY 11233-2906
Phone (617) 460-0510
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 |
|---|---|---|---|
| 099862 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505347200000",
"number": "1861911414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 HULL ST APT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112332906",
"telephone_number": "617-460-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 ADAM CLAYTON POWELL JR BLVD FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274941",
"telephone_number": "212-553-6708",
"fax_number": "212-222-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TARRA",
"middle_name": "DOWNEY",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2017-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "099862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.