Individual provider Active NPI

Carolyn Ann Johnson, LCSW, CEAP

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1013280320
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5249 Issued in FL
Practice address
1106 Druid Rd S
Suite 201
Clearwater, FL 33756-3846
Phone
(727) 854-6266
Fax
(727) 581-1575
NPI assigned
Feb 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5249 FL Primary

Addresses

Primary practice location

1106 Druid Rd S
Suite 201
Clearwater, FL 33756-3846

Mailing address

1106 Druid Rd S
Suite 201
Clearwater, FL 33756-3846
Phone (727) 854-6266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1013280320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-854-6266",
            "fax_number": "727-581-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-854-6266",
            "fax_number": "727-581-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "LCSW, CEAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.