Kathleen Marie Johann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006255A Issued in IN

Practice address

7855 S Emerson Ave Ste H
Indianapolis, IN 46237-8669

Phone

(317) 902-2205

NPI assigned

Mar 2, 2011

Last updated

Jun 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innovative Behavioral Health

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1669719803
  Authorized official Same address or phone

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1245538180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 PAINTED MAPLE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462549630",
            "telephone_number": "317-902-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "317-902-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "3304149A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006255A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jochum, MD
• Jae Hee Joe
• Joey Somers O'Donnell, Psy.D., LLC
• Kristen Jogerst, MD
• Arminder Singh Johal, MD
• Melanie K Johannessohn
• Michael W. Johansen, D.O.
• Stephen Johantgen, MD
• John H Payne Assoc Inc
• John H. Boner Community Center (Elder Alternative Adult Day Services)

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.