Active NPI
Lia Christine Johansen, LCSW
- Clinical Social Worker
- Concord, CA
National Provider Identifier
1003241894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112048
- Practice address
- 2827 Concord Blvd
Concord, CA 94519-2608 - Phone
- (925) 320-3775
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112048 | CA | Primary |
Addresses
Primary practice location
2827 Concord Blvd
Concord, CA 94519-2608
Mailing address
2827 Concord Blvd
Concord, CA 94519-2608
Phone (925) 320-3775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 8, 2025 through Aug 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112048 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1003241894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2827 CONCORD BLVD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192608",
"telephone_number": "925-320-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2827 CONCORD BLVD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192608",
"telephone_number": "925-320-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSEN",
"first_name": "LIA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "112048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
- Alysha Jinnah
- Jiva Health Primary Care
- Jiva Health, Inc
- Balin Johal
- Amanda Jeanne Johansen
- John a. Ambrosino, D.P.M., Inc.
- John Canlas Nutrition LLC
- John F. Kennedy University (JFKU Community Counseling Center - Concord)
- John Fraire Aldava IV, PHD, Psychology Group P.C.
- John Muir Behavioral Health (John Muir Behavioral Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.