Zachary Carlton Johnson, LCSW
NPI 1033751110ActiveIndividual· Social Worker, Clinical· Brentwood, NY
Social Worker, Clinical (LCSW) with Phoenix Houses of Long Island Inc, practicing in Brentwood, New York. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1033751110 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2019 |
| Last updated in NPPES | Apr 7, 2023 |
| Certified by provider | Apr 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 094563 | NY |
| Social Worker | 104100000X | 107279-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Phoenix Houses of Long Island IncEast Hampton, NY · 10 clinicians
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