Annalise John, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12377650-3501 Issued in UT

Practice address

3556 S 5600 W # 1-660
West Valley City, UT 84120-2815

Phone

(651) 269-5019

NPI assigned

Jun 19, 2013

Last updated

Aug 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rivercourse Counseling, LLC

  • Clinical Social Worker
  • West Valley City, UT
  • NPI 1013683705
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1003255324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 S 5600 W # 1-660",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202815",
            "telephone_number": "651-269-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 S 5600 W # 1-660",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202815",
            "telephone_number": "651-269-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5666 Lincoln Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554361673",
            "country_code": "US",
            "telephone_number": "612-930-2038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 Cleveland Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551161218",
            "country_code": "US",
            "telephone_number": "763-913-8261 x6",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 E 100 S",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841111700",
            "country_code": "US",
            "telephone_number": "801-322-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ANNALISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25733",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12377650-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Edward Jennings, LCSW
• Alandria Jensen, PHARMD
• Landon Willis Jensen, PT, DPT
• Douglas B Jerman, PA-C
• Jovie Lou Jessop
• Ashley Johnson, PA-C
• Briana Dawn Johnson, PA
• Elaina Johnson
• Glen Eric Johnson, MD
• Leeann Johnson, FNP

• Clinical Social Worker in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.