PATRICK M JOHNSON
NPI 1366794950
Social Worker in Philadelphia, PA

Q: What is Patrick Johnson's NPI number?

The NPI number for Patrick Johnson is 1366794950. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Q: What is Patrick Johnson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Johnson was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 08, 2012PECOS EnrolledAccepts Medicare Assignment

4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124(215) 831-2836(215) 831-2929 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Patrick M Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK M JOHNSON (NPI 1366794950) is an individual social worker in Philadelphia, Pennsylvania and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366794950

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NamePATRICK M JOHNSON

Location Address4641 ROOSEVELT BLVD, ORLEANS BLDGPhiladelphia, PA 19124-2343

Mailing Address4641 Roosevelt Blvd, Orleans BldgPhiladelphia, PA 19124-2343 · (215) 831-2836 · Fax (215) 831-2929

Phone(215) 831-2836

Fax(215) 831-2929

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 8, 2012

✔ NPI 1366794950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4641 ROOSEVELT BLVD, Philadelphia, PA 19124

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick M Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002181286

PECOS Enrollment IDI20171016000148

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM LEVINE LCSW

Social Worker

4641 ROOSEVELT BLVD, ORLEANS BUILDING
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2899

FRIENDS BEHAVIORAL HEALTH SYSTEM, LP

Psychiatric Hospital

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-4600

PAUL BALLAS

Psychiatry & Neurology (Psychiatry)

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-7935

COURTNEY DOUDS LSW, MED

Social Worker

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2860

MR. JAMIYLAH SIKA BURNS PHYSICAL THERAPIST

Physical Therapist (Pediatrics)

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 742-7820

CHRISTEN JOESELL YASSIN

Social Worker

4641 ROOSEVELT BLVD, ORLEANS BLDG
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2836

MRS. MARIANN MONTELEONE RN

Registered Nurse (Psychiatric/Mental Health)

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2964

DR. MITZIE L GRANT PHD.

Clinical Neuropsychologist

4641 ROOSEVELT BLVD, SUITE C229
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-4811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Johnson's NPI number?

The NPI number for Patrick Johnson is 1366794950. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Patrick Johnson located?

Patrick Johnson practices at 4641 Roosevelt Blvd Orleans Bldg, Philadelphia, PA 19124. The listed phone number is (215) 831-2836.

What is Patrick Johnson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Patrick Johnson enrolled in Medicare?

Yes. Patrick Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patrick Johnson was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.