JACQUELINE JOHNSON (NPI# 1003177577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003177577 |
| Entity Type | Individual |
| Full Name | JACQUELINE JOHNSON |
| Credential | LCSW |
| Practice Address |
633 Gidney Ave Suite 6 Newburgh NY 12550-2800 |
| Practice Telephone | 8455692900 |
| Practice Fax Number | 8666195710 |
| Mailing Telephone | 8455692900 |
| Mailing Fax Number | 8666195710 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
078459 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| Street Address |
633 GIDNEY AVE SUITE 6 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912059916 | Joan P Kaplan | Social Worker | 633 Gidney Ave, Suite 2, Newburgh, NY 12550-2800 | 2007-01-18 |
| 1184076358 | Psyprobill, LLC | Community/Behavioral Health | 633 Gidney Ave, Suite 5, Newburgh, NY 12550-2800 | 2016-07-12 |
| 1598185829 | Jessica Fritz | Counselor | 633 Gidney Ave, Suite 6, Newburgh, NY 12550-2800 | 2014-04-25 |
| 1346521820 | Todd Alvin Rochman Md PC | Social Worker | 633 Gidney Ave, Suite 2, Newburgh, NY 12550-2800 | 2011-08-29 |
| 1982992889 | Wendy Keller, Lcsw, LLC | Social Worker | 633 Gidney Ave, Suite 2, Newburgh, NY 12550 | 2011-07-13 |
| 1770726887 | Elizabeth Lacy | Social Worker | 633 Gidney Ave, Suite 2, Newburgh, NY 12550-2800 | 2009-04-20 |
| 1275721722 | Ingrid Muriel Anderson | Social Worker | 633 Gidney Ave, Suite 2, Newburgh, NY 12550-2800 | 2007-10-10 |
| 1295875714 | Salil Kathpalia | Psychiatry & Neurology | 633 Gidney Ave, Ste 5, Newburgh, NY 12550-2805 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962058974 | Claudio M Morel | Social Worker | 259 Route 17k Ste 200, Newburgh, NY 12550-8342 | 2019-08-15 |
| 1174007132 | Deaconess Hospital, Inc | Social Worker | 4133 Gateway Blvd Ste 290, Newburgh, IN 47630-7918 | 2018-09-17 |
| 1194243683 | Natalie Daniel | Social Worker | 5000 S Plaza Dr, Newburgh, IN 47630-3066 | 2017-09-05 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1124574991 | Divine Counseling and Wellness Inc | Social Worker | 5020 Route 9w, Suite 104, Newburgh, NY 12550-7900 | 2016-08-31 |
| 1073977229 | Scott Wunder | Social Worker | 199 N Fostertown Dr, Newburgh, NY 12550-8770 | 2016-04-13 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1073858882 | Beth Embry | Social Worker | 4466 State Route 261, Newburgh, IN 47630-2832 | 2012-12-05 |
| 1578812236 | Christy Marie Driscoll | Social Worker | 633 Gidney Ave Ste 6, Newburgh, NY 12550-2805 | 2012-09-09 |
| 1538434055 | Michele Copping | Social Worker | 14 Maurice Ln, Newburgh, NY 12550-2814 | 2012-03-16 |
| Find all providers in NEWBURGH | ||||
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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.