Individual provider Active NPI

Lauren Johnston

  • Clinical Social Worker
  • Appleton, WI
National Provider Identifier
1346038536
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851115143 Issued in MI
Practice address
1535 N McCarthy Rd Apt 8
Appleton, WI 54913-8841
Phone
(847) 971-2087
Fax
(847) 971-2087
NPI assigned
Apr 28, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851115143 MI Primary

Addresses

Primary practice location

1535 N McCarthy Rd Apt 8
Appleton, WI 54913-8841

Mailing address

3353 Grove LN
Auburn Hills, MI 48326-3979
Phone (847) 971-2087

Other practice location 1

3353 Grove Ln
Auburn Hills, MI 48326-3979
Phone (847) 971-2087

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

State licenses

LicenseStateTypeSpecialty
6851115143MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1346038536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 GROVE LN",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263979",
            "telephone_number": "847-971-2087",
            "fax_number": "847-971-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N MCCARTHY RD APT 8",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138841",
            "telephone_number": "847-971-2087",
            "fax_number": "847-971-2087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3353 Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483263979",
            "country_code": "US",
            "telephone_number": "847-971-2087",
            "fax_number": "847-971-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.