MR. ZACHARY CARLTON JOHNSON (NPI# 1033751110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033751110 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY CARLTON JOHNSON |
| Credential | LMSW |
| Practice Address |
475 E Main St Patchogue NY 11772-3121 |
| Mailing Address |
202a E Main St # A Port Jefferson NY 11777-1857 |
| Practice Telephone | 6313632001 |
| Mailing Telephone | 2316794685 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 107279-01 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589134 | Zachary Scott Johnson | Dietitian, Registered | 10150 Nw 58th Ct, Parkland, FL 33076 | 2020-05-18 |
| 1235751355 | Zachary Johnson | Pharmacist | 3676 N Hermitage Rd Ste 6, Transfer, PA 16154-1852 | 2020-05-12 |
| 1598233256 | Zachary Allen Johnson | Physician Assistant | 550 Deep Valley Dr Ste 283, Rolling Hills Estates, CA 90274-7602 | 2018-11-10 |
| 1255880357 | Zachary Robert Johnson | Physical Therapist | 4205 Beryl Ln, Beryl Ln, Granbury, TX 76049-6602 | 2016-09-30 |
| 1295280642 | Zachary Johnson | Social Worker | 3033 Nw 63rd St # 165e, Oklahoma City, OK 73116-3634 | 2016-08-15 |
| 1104120914 | Zachary Johnson | Physical Therapist | Po Box 34, Hayden, CO 81639 | 2011-01-08 |
| 1083263412 | Zachary Johnson | Pharmacy | 200 W State Road 436, Altamonte Springs, FL 32714-4202 | 2019-09-09 |
| 1962059618 | Zachary Joseph Johnson | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2019-08-19 |
| 1437719507 | Zachary Wade Johnson | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2019-06-19 |
| 1477111755 | Zachary Johnson | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2019-06-03 |
| Street Address |
475 E MAIN ST |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125909 | Gina Maria Cardone | Optometrist | 475 E Main St, 104, Patchogue, NY 11772-3121 | 2005-06-24 |
| 1689210098 | Rebecca Lynn Mueller | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2019-11-20 |
| 1770128753 | Amanda Mackillop | Registered Nurse | 475 E Main St, Patchogue, NY 11772-3121 | 2019-11-13 |
| 1033614128 | Caitlyn Figoski | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2018-03-29 |
| 1952814683 | Erika Delco | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2017-11-16 |
| 1326571365 | Katelynn Andriano | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2017-04-06 |
| 1912440496 | Stephanie Kawko | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2016-12-01 |
| 1811343049 | Debra Gruda Lcsw PC | Social Worker | 475 E Main St, Suite 211, Patchogue, NY 11772-3121 | 2016-05-06 |
| 1063867976 | Theraputic Medical Infusion PC | Anesthesiology | 475 E Main St, Suite 114, Patchogue, NY 11772-3121 | 2016-04-28 |
| 1770938698 | Medical Marijuana Consulting PC | Anesthesiology | 475 E Main St, Suite 114, Patchogue, NY 11772-3121 | 2016-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447890900 | Hope Marie Moore | Social Worker | 49 Baker St Apt 1, Patchogue, NY 11772-3852 | 2020-01-13 |
| 1588917785 | Joshua Hendrickson | Social Worker | 121 Bailey Ave, Patchogue, NY 11772-3903 | 2012-10-25 |
| 1871876938 | Danielle Beth Chebat | Social Worker | 159 E Woodside Ave, Patchogue, NY 11772-1423 | 2011-09-26 |
| 1306977343 | Linda Jean Monahan | Social Worker | 110 N Ocean Ave, Suite Ll1, Patchogue, NY 11772-2015 | 2007-03-09 |
| 1043362437 | Jean Chisholm Sullivan | Social Worker | 153 Rider Avenue, Patchogue, NY 11772 | 2007-01-17 |
| 1699711879 | Diana Ruth Barnett | Social Worker | 1 South Ocean Ave, Suite 210, Patchogue, NY 11772 | 2006-06-22 |
| 1093322901 | Jennifer Neithercut | Social Worker | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2020-09-24 |
| 1396379301 | Alyson Rose Paruolo | Social Worker | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2020-02-28 |
| 1689210098 | Rebecca Lynn Mueller | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2019-11-20 |
| 1588211692 | Crystal Jackson | Social Worker | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2019-08-22 |
| Find all providers in PATCHOGUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.