NPIMap

Organization Active NPI

Matthew R. Johnson III

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1225589286
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5531 Issued in LA
Legal business name
MATTHEW R. JOHNSON III
Practice address
620 Oak Harbor Blvd
101
Slidell, LA 70458-8862
Phone
(985) 643-2411
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew R. Johnson III, LCSWNPI 1316953797
Title
Owner
Phone
(985) 643-2411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5531 LA Primary

Addresses

Primary practice location

620 Oak Harbor Blvd
101
Slidell, LA 70458-8862

Mailing address

620 Oak Harbor Blvd
101
Slidell, LA 70458-8862
Phone (985) 643-2411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1225589286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR BLVD",
            "address_2": "101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-643-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR BLVD",
            "address_2": "101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-643-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R. JOHNSON III",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-643-2411",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.