Johanna Rose Durazzi, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07121300 Issued in NJ

Practice address

444 Coventry Way
Galloway, NJ 08205-6679

Phone

(609) 513-4058

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brownstone Center for Wellness LLCGroup PAC ID 6709320302, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brownstone Center for Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williamstown, NJ
  • NPI 1174291637
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1871311191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 COVENTRY WAY",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082056679",
            "telephone_number": "609-513-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 COVENTRY WAY",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082056679",
            "telephone_number": "609-513-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAZZI",
        "first_name": "JOHANNA",
        "middle_name": "ROSE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07121300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Jay Dolgoff, DPM
• Angela Marie Donato
• Karen Doran, LSW
• Douglas J. Kelley, Inc.
• Dr. Bill Ross, DC, LLC
• Donna Pharo Dykes, PTA
• East Coast Chiropractic and Rehab Center
• East Coast Orthopedics
• Mona Elgenaidi, M.D.
• Emma L Bryan DPM

• Social Worker in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.