Active NPI
Sharon Rena Johnson, L.C.S.W.
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1366421299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 49702123501
- Practice address
- 5965 S 900 E
#240
Salt Lake City, UT 84121-1720 - Phone
- (801) 263-7225
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 49702123501 | UT | Primary |
Addresses
Primary practice location
5965 S 900 E
#240
Salt Lake City, UT 84121-1720
Mailing address
6934 Well Spring Rd
Midvale, UT 84047-4027
Phone (801) 561-0465
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827406 | Other | UT | BLUE CROSS |
| 9429838348 | Other | UT | CHAMPUS |
| 942938348SHA | Other | UT | EDUCATORS MUTUAL |
| 107025298101 | Other | UT | INTERMTN. HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6854 S 700
Midvale, UT 84047-1395
Phone (801) 288-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49702123501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mental Health Incorporated | Clinical | Current | Accepting new patients |
| Shewolfe, LLC | Past | Accepting new patients |
Locations
5965 S 900 E
#240
Murray, UT 84121
Phone (801) 263-7225
5965 S 900 E
#430
Murray, UT 84121
Phone (801) 261-1442
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
-
- Professional Counselor
- Millcreek, UT
- NPI 1386253441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1366421299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6934 WELL SPRING RD",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840474027",
"telephone_number": "801-561-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 S 900 E",
"address_2": "#240",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841211720",
"telephone_number": "801-263-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHARON",
"middle_name": "RENA",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "49702123501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "827406",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "9429838348",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "942938348SHA",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMTN. HEALTH CARE",
"identifier": "107025298101",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.