Richard Johnson, MSW
Individual provider Active NPI Clinical Social Worker · Marquette, NE
NPI 1063398568 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1063398568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 959 (NE)
- Practice address
- 69 Willowbend
Marquette, NE 68854-4301 - Phone
- (402) 270-6909
- NPI assigned
- Aug 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 959 | NE | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 959 | NE | Yes |
Addresses
Primary practice location
69 Willowbend
Marquette, NE 68854-4301
Mailing address
69 Willowbend
Marquette, NE 68854-4301
Phone (402) 270-6909
Other providers in Marquette, NE
All providers in Marquette, NE · Clinical Social Worker in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.