Active NPI
Olivia Alvizo-Johnson
- Clinical Social Worker
- Yonkers, NY
National Provider Identifier
1881249829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 095736
- Practice address
- 395 Palmer Rd
Yonkers, NY 10701-5239 - Phone
- (929) 343-7769
- NPI assigned
- Aug 6, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 095736 | NY | Primary |
Addresses
Primary practice location
395 Palmer Rd
Yonkers, NY 10701-5239
Mailing address
395 Palmer Rd
Yonkers, NY 10701-5239
Other practice location 1
140 Broadway
New York, NY 10005-1108
Phone (602) 820-7531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 23, 2024 through Jul 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095736 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1881249829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 PALMER RD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107015239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 PALMER RD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107015239",
"telephone_number": "929-343-7769"
}
],
"practiceLocations": [
{
"address_1": "140 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100051108",
"country_code": "US",
"telephone_number": "602-820-7531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVIZO-JOHNSON",
"first_name": "OLIVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095736",
"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 Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.