Jerilyn T Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7010989-3501 Issued in UT

Practice address

2452 W 500 S Unit 7
Springville, UT 84663-5773

Phone

(801) 557-3335

NPI assigned

Nov 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1013551035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 W 500 S UNIT 7",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635773",
            "telephone_number": "801-557-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 W 500 S UNIT 7",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635773",
            "telephone_number": "801-557-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERILYN",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7010989-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jamison, M.E/CCC-SLP
• Jared C. Condie DMD & Brian L. Tuft DMD LLC
• Christine Jeffs, RDH
• Daniel B Jensen, LCSW
• Amanda Johnson
• Lew N Jones, CPCI
• Walter Barrett Jones, PHARMD
• Wayne Joseph Jones
• Nathan Jonson, DC
• Norma Juarez, CSW

• Clinical Social Worker in Springville, UT
• Providers in Springville, 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 Nov 1, 2019; 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.