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MS. STEPHANIE ANN JOHNSON LICSW
NPI 1700902103
Social Worker - Clinical in Revere, MA

Active since March 21, 2007PECOS Enrolled
300 OCEAN AVE, REVERE, MA 02151(781) 485-6100 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Stephanie Ann Johnson Licsw NPPES

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

MS. STEPHANIE ANN JOHNSON LICSW (NPI 1700902103) is an individual clinical provider in Revere, Massachusetts, licensed in Massachusetts (112048) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700902103
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STEPHANIE ANN JOHNSONCredential: LICSW
Location Address300 OCEAN AVERevere, MA 02151-3675
Mailing Address200 Leisure Ln, Apartment #80Stoneham, MA 02180-4003 · (781) 724-4275
Phone(781) 485-6100
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateMarch 5, 2012
✔ NPI 1700902103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 112048
Definition
A 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.
300 OCEAN AVE, Revere, MA 02151
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stephanie Ann Johnson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. STACIE ANN HOBAN MS, CCC-SLP
Speech-Language Pathologist
300 OCEAN AVE, SPEECH AND LANGUAGE
REVERE, MA 02151
Suffolk County (781) 485-6131
DANYA HANDELSMAN
Student in an Organized Health Care Education/Training Program
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6000
MS. EMILY J WILCOX NP
Nurse Practitioner (Pediatrics)
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6000
CECILIA JIANG
Physical Therapist
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6234
ELLEN TIGHE VENTOLA MS,PT,OCS
Specialist
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6222
EMILY CARUSO MACINTYRE CPNP
Nurse Practitioner (Pediatrics)
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6024
DR. JOSEPH MICHAEL CZUPRYNA DPT
Physical Therapist
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6000
JESSICA BRYSKI
Student in an Organized Health Care Education/Training Program
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (307) 399-0688

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 Stephanie Johnson's NPI number?

The NPI number for Stephanie Johnson is 1700902103. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Stephanie Johnson located?

Stephanie Johnson practices at 300 Ocean Ave, Revere, MA 02151. The listed phone number is (781) 485-6100.

What is Stephanie Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Stephanie Johnson enrolled in Medicare?

Yes. Stephanie Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Stephanie Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Johnson was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.