Active NPI
Callee Johnson
- School Social Worker
- Iuka, MS
National Provider Identifier
1215430343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 1213 Maria LN
Iuka, MS 38852-1135 - Phone
- (662) 423-3332
- NPI assigned
- Mar 15, 2018
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
1213 Maria LN
Iuka, MS 38852-1135
Mailing address
1213 Maria LN
Iuka, MS 38852-1135
Phone (662) 423-3332
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1215430343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 MARIA LN",
"city": "IUKA",
"state": "MS",
"postal_code": "388521135",
"telephone_number": "662-423-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 MARIA LN",
"city": "IUKA",
"state": "MS",
"postal_code": "388521135",
"telephone_number": "662-423-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CALLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.