Gerard Benedict John, LCSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

SW10195

Practice address

401 NE 4TH St
Ft Lauderdale, FL 33301-1151

Phone

(954) 453-6400

Fax

(954) 764-6458

NPI assigned

Jun 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Broward County

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1326171034
  NPD (past)
• Miami Behavioral Health Center Inc

  • Mental Health Counselor
  • Coral Gables, FL
  • NPI 1457319451

  Clinical

  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1881980456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE 4TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011151",
            "telephone_number": "954-453-6400",
            "fax_number": "954-764-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE 4TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011151",
            "telephone_number": "954-453-6400",
            "fax_number": "954-764-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "GERARD",
        "middle_name": "BENEDICT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10195",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "SW10195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003762400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel L. Rush D.O, P.a.
• Milenis Johancsik
• Johannes V. Blom, MD, PA
• John E Roberts III MD PLLC
• John W Pinnella MD PA
• Nigel Alvin John Jr., DO
• John'S Place, Inc
• John'S Place, Inc
• Mitzie Johnson Taylor, FNP-BC
• Charmaine Johnson-Leong

• Case Manager/Care Coordinator in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.