Donna Johanson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008353 Issued in CT

Practice address

40 Spring Lake Rd
Sherman, CT 06784-1200

Phone

(860) 350-2348

Fax

(860) 350-2348

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By 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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Donna Johanson LCSW LLC

  • Clinical Social Worker
  • Sherman, CT
  • NPI 1922491463
  Medicare reassignment NPD Authorized official
• Michael Lapidus, MD PC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1811634447
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1093117145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRING LAKE RD",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067841200",
            "telephone_number": "860-350-2348",
            "fax_number": "860-350-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRING LAKE RD",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067841200",
            "telephone_number": "860-350-2348",
            "fax_number": "860-350-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Johanson LCSW LLC
• John H Ehrenreich, PH.D.
• Michael Graves
• Garrett Grill, RDN
• Mutsumi Hyuga
• KMK Therapy Solutions PLLC
• Mark J Kunkel, MD
• Manual Lymphatic Drainage & Lymphedema Occupational Therapy, PLLC
• Karen Lee McBride, M.A.CCCSLP
• Sharon Anne McQuaide, LCSW PHD

• Clinical Social Worker in Sherman, CT
• Providers in Sherman, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.