Cheryl E Johnson, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

B-05517 Issued in NM

Practice address

3539 E 30TH St
Farmington, NM 87402-8801

Phone

(505) 566-3859

Fax

(505) 566-3826

NPI assigned

Sep 29, 2009

Last updated

Sep 29, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• San Juan College Family Resource Center

  • Community/Behavioral Health Agency
  • Farmington, NM
  • NPI 1215095955
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1033443635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 COLLEGE BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024609",
            "telephone_number": "505-566-3859",
            "fax_number": "505-566-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 E 30TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028801",
            "telephone_number": "505-566-3859",
            "fax_number": "505-566-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHERYL",
        "middle_name": "E",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "B-05517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina J John
• Jalisa Johnhat
• Johnson & Montoya Dental, PC
• Adam Crandall Johnson, M.D.
• Alisha Johnson
• Kaede Johnson
• Kierra Johnson
• Kimberly Dale Johnson, MD
• Leroy Louis Johnson, CSW
• Mois A Johnson, NP

• Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.