Active NPI
Jo Ann T Johnson, LCSW
- Social Worker
- Sacramento, CA
National Provider Identifier
1184637035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS6104
- Practice address
- 7001A East Pkwy
Suite 400
Sacramento, CA 95823-2501 - Phone
- (916) 875-3861
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS6104 | CA | Primary |
Addresses
Primary practice location
7001A East Pkwy
Suite 400
Sacramento, CA 95823-2501
Mailing address
897 Lake Front Dr
Sacramento, CA 95831-4325
Phone (916) 428-2747
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS6104 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184637035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 LAKE FRONT DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958314325",
"telephone_number": "916-428-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001A EAST PKWY",
"address_2": "SUITE 400",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232501",
"telephone_number": "916-875-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JO ANN",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS6104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.