GRACE JOHNSON LCSW NPI 1639620313

Social Worker (Clinical) in Bay Shore, NY

Individual Female Social Worker Clinical

About GRACE JOHNSON

Grace Johnson is a provider established in Bay Shore, New York and her medical specialization is social worker. The NPI number of Grace Johnson is 1639620313 and was assigned on October 2016. The practitioner's primary taxonomy code is 1041C0700X with license number 089050 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI

1639620313

Provider Name GRACE JOHNSON LCSW
Provider Location Address269 W MAIN ST SECOND FLOOR BAY SHORE, NY 11706
Provider Mailing AddressPO BOX 59 BAYPORT, NY 11705
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-18-2016
Last Update Date12-19-2019

Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.089050
License StateNY
Taxonomy DescriptionA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Business Address

GRACE JOHNSON LCSW
269 W MAIN ST
SECOND FLOOR
BAY SHORE, NY
ZIP 11706
Phone: (631) 666-1954
Fax: (631) 593-5472

Get Directions

Mailing Address

GRACE JOHNSON LCSW
PO BOX 59
BAYPORT, NY
ZIP 11705
Phone: (631) 942-0031

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1104100000XBehavioral Health & Social Service ProvidersSocial Worker098352NYNo

Taxonomy Description: 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.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023546652 DANIELLE ADAMSON
Individual
Counselor (Mental Health)269 W MAIN ST
BAY SHORE, NY 11706
(631) 721-6781
1124447289 BERTHA MURPHY LCSW
Individual
Social Worker (Clinical)269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951
1366593683 LIANNE E. CONROY LCSW
Individual
Social Worker (Clinical)269 W MAIN ST
BAY SHORE, NY 11706
(631) 252-4024
1710095492 CRISTA LIN SIMONETTI LCSW-R
Individual
Counselor (Mental Health)269 W MAIN ST
BAY SHORE, NY 11706
(631) 885-5830
1770875361 ROBERTA MORRIS LMSW
Individual
Social Worker269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951
1871819060 PHILIP T SKLAW LMSW
Individual
Social Worker (Clinical)269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951
1922598051 CHELSEA MOCCIO LMSW
Individual
Social Worker269 W MAIN ST
BAY SHORE, NY 11706
(631) 240-4879
1972819910 ROBERT HARRY RICHARDSON LMSW
Individual
Social Worker269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.