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

Patrick M Johnson

Individual provider Social Worker · NPI 1366794950

Patrick M Johnson is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Main Line Therapy Solutions LLC, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2012
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Practice location Address checks out

4641 Roosevelt Blvd Orleans Bldg
Philadelphia, PA 19124-2343
Phone: (215) 831-2836
Fax: (215) 831-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1366794950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2012
Last updated in NPPESOctober 8, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Main Line Therapy Solutions Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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