Active NPI
Paula Hancock Johnson, LCSW
- Social Worker
- Jefferson City, MO
National Provider Identifier
1306077250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2008033984
- Practice address
- 1303 Edgewood Dr Ste 5
Jefferson City, MO 65109 - Phone
- (573) 690-7803
- Fax
- (573) 638-2693
- NPI assigned
- Jul 27, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2008033984 | MO | Primary |
Addresses
Primary practice location
1303 Edgewood Dr Ste 5
Jefferson City, MO 65109
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
227 Metro Dr
Jefferson City, MO 65109-1134
Phone (888) 403-1071
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1306077250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 EDGEWOOD DR STE 5",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65109",
"telephone_number": "573-690-7803",
"fax_number": "573-638-2693"
}
],
"practiceLocations": [
{
"address_1": "227 Metro Dr",
"address_purpose": "LOCATION",
"city": "Jefferson City",
"state": "MO",
"postal_code": "651091134",
"country_code": "US",
"telephone_number": "888-403-1071",
"fax_number": "573-634-4010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "PAULA",
"middle_name": "HANCOCK",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2008033984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.