Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Zachary Carlton Johnson, LCSW

Individual provider Social Worker · NPI 1033751110

Mr. Zachary Carlton Johnson, LCSW is a Clinical Social Worker in Brentwood, New York. Qualified in 2019, 7 years ago. Practices with Phoenix Houses of Long Island Inc, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

998 Crooked Hill Rd Bldg 5
Brentwood, NY 11717-1019
Phone: (631) 306-5775
Fax: (718) 210-3559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 094563 (NY)
Social Worker Taxonomy 104100000X · Licence 107279-01 (NY)

Record details

NPI number1033751110
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 10, 2019
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Phoenix Houses Of Long Island Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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