Active NPI
Karen S Johnson, LICSW
- Clinical Social Worker
- Amherst, NH
National Provider Identifier
1083628762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 812
- Practice address
- 135 State Route 101a
Amherst, NH 03031-2248 - Phone
- (603) 595-8555
- Fax
- (603) 595-8555
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 812 | NH | Primary |
Addresses
Primary practice location
135 State Route 101a
Amherst, NH 03031-2248
Mailing address
135 State Route 101a
Amherst, NH 03031-2248
Phone (603) 595-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071845 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1083628762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 STATE ROUTE 101A",
"city": "AMHERST",
"state": "NH",
"postal_code": "030312248",
"telephone_number": "603-595-8555",
"fax_number": "603-595-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 STATE ROUTE 101A",
"city": "AMHERST",
"state": "NH",
"postal_code": "030312248",
"telephone_number": "603-595-8555",
"fax_number": "603-595-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KAREN",
"middle_name": "S",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3071845",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.