Individual provider Active NPI

Debra Ann Johnson, LCSW

  • Clinical Social Worker
  • Ft Sill, OK
National Provider Identifier
1023196177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2267 Issued in OK
Practice address
Dept. of the Army: Usameddac
Attn: McUa-CMH Attn Debra Johnson
Ft Sill, OK 73503-6300
Phone
(580) 442-4351
Fax
(580) 442-7400
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2267 OK Primary

Addresses

Primary practice location

Dept. of the Army: Usameddac
Attn: McUa-CMH Attn Debra Johnson
Ft Sill, OK 73503-6300

Mailing address

7614 NW Taylor Ave
Lawton, OK 73505-2431
Phone (580) 647-9964

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2267OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023196177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 NW TAYLOR AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052431",
            "telephone_number": "580-647-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT. OF THE ARMY: USAMEDDAC",
            "address_2": "ATTN: MCUA-CMH ATTN DEBRA JOHNSON",
            "city": "FT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-442-4351",
            "fax_number": "580-442-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Sill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.