Individual provider Active NPI

Johanna Dobrich, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1891008918
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081481-1 Issued in NY
Practice address
225 W 35TH St
7TH FL.
New York, NY 10001-1904
Phone
(631) 456-2236
NPI assigned
Jul 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081493-1 NY
Clinical Social Worker 1041C0700X 081481-1 NY Primary

Addresses

Primary practice location

225 W 35TH St
7TH FL.
New York, NY 10001-1904

Mailing address

225 W 35TH St
7TH FL.
New York, NY 10001-1904
Phone (631) 456-2236

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

LicenseStateTypeSpecialty
081493-1NYMDSocial Worker
081481-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1891008918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 35TH ST",
            "address_2": "7TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011904",
            "telephone_number": "631-456-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 35TH ST",
            "address_2": "7TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011904",
            "telephone_number": "631-456-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRICH",
        "first_name": "JOHANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-18",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081493-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081481-1",
            "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 Dec 16, 2015; 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.