Individual provider Active NPI

Jonathan Johnson, LCSW

  • Clinical Social Worker
  • Greensboro, PA
National Provider Identifier
1902830490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014676 Issued in PA
Practice address
7 Glassworks Rd
Greensboro, PA 15338-9507
Phone
(724) 943-3308
Fax
(724) 943-4929
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014676 PA Primary

Addresses

Primary practice location

7 Glassworks Rd
Greensboro, PA 15338-9507

Mailing address

7 Glassworks Rd
Greensboro, PA 15338-9507
Phone (724) 943-3308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014676PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SRMC Healthcare Group LLC Past Accepting new patients
Mary Ann Crabtree Past Accepting new patients
Bluestem Behavioral Health Group LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902830490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "telephone_number": "724-943-3308",
            "fax_number": "724-943-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "telephone_number": "724-943-3308",
            "fax_number": "724-943-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, PA

Sources for this page

Verify at the official NPI Registry.