Individual provider Active NPI

Jane Louise Johnson, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1376582890
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989157 Issued in CO
Practice address
2627 Redwing Rd Ste 235
Fort Collins, CO 80526-6352
Phone
(970) 266-2678
Fax
(970) 631-8873
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 989157 CO Primary

Addresses

Primary practice location

2627 Redwing Rd Ste 235
Fort Collins, CO 80526-6352

Mailing address

2627 Redwing Rd Ste 235
Fort Collins, CO 80526-6352
Phone (970) 266-2678

Other identifiers 1

IdentifierTypeStateIssuer
69785031MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626001103 CO Practitioner - Clinical Social Worker 5698020014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2627 Redwing Rd
Suite 235
Fort Collins, CO 80526-6352
Phone (970) 481-6905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jane L. Johnson, LLC Clinical CurrentSince Mar 28, 2018 Accepting new patients

Locations

2627 Redwing Rd
Ste 235
Fort Collins, CO 80526
Phone (970) 377-1810

333 W Drake Rd
Ste 141
Fort Collins, CO 80526
Phone (303) 909-0177

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1376582890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 235",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266352",
            "telephone_number": "970-266-2678",
            "fax_number": "970-631-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 235",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266352",
            "telephone_number": "970-266-2678",
            "fax_number": "970-631-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANE",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69785031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.