Misti Nicole-Smith Johnson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06466 Issued in IA

Practice address

1201 63Rd St
Des Moines, IA 50311-1943

Phone

(641) 831-3261

NPI assigned

Oct 23, 2006

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

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1164505129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S 3RD AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084239",
            "telephone_number": "641-792-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 63RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503111943",
            "telephone_number": "641-831-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MISTI",
        "middle_name": "NICOLE-SMITH",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Johnson, PHARM D
• Mark Christopher Johnson, M.D.
• Marsha Kay Johnson
• Mary Carol Johnson, DDS
• Michaela Jill Johnson, DDS
• Moriah Jean Johnson, PA-C
• Sarah Elizabeth Johnson, ARNP
• Sarah Kay Johnson, TCADC
• Scott Johnson, DO
• Scott A Johnson, D.D.S., M.D.

• Clinical Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.