Chase Johnson, LMSW
Individual provider Active NPI Social Worker · Knob Noster, MO
NPI 1316624737 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1316624737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2022012321 (MO)
- Practice address
- 1800 W Irish LN
Knob Noster, MO 65336-1020 - Phone
- (660) 687-0187
- Fax
- (660) 687-0221
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022012321 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatterbox Speech Therapy, LLC | Past |
Accepting new patients | |
| Pediatric Place, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2022012321 | MO | Yes |
Addresses
Primary practice location
1800 W Irish LN
Knob Noster, MO 65336-1020
Mailing address
210 S 2ND St Ste a
Clinton, MO 64735-2172
Phone (660) 885-2394
Other providers in Knob Noster, MO
- Myranda Gray
- Tamara R Greer
- Michael Allen Hanna
- Sara Ann Howe
- Danielle R Inman
- Carson Bryanna Jones
- Knob Noster Family Dental
- Knob Noster Family Dentistry
- Knob Noster Physical Therapy, LLC
- Emma Kolars
All providers in Knob Noster, MO · Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.