Active NPI
Vanesia Regina Johnson, LCSW
- Clinical Social Worker
- Sugar Land, TX
National Provider Identifier
1376844472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 37114
- Practice address
- 16106 Dawn Marie LN
Sugar Land, TX 77498-7523 - Phone
- (832) 429-6965
- Fax
- (281) 809-4596
- NPI assigned
- Nov 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 37114 | TX | |
| Clinical Social Worker | 1041C0700X | 37114 | TX | Primary |
Addresses
Primary practice location
16106 Dawn Marie LN
Sugar Land, TX 77498-7523
Mailing address
PO Box 2234
Sugar Land, TX 77487-2234
Phone (713) 530-8372
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37114 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1376844472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2234",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774872234",
"telephone_number": "713-530-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16106 DAWN MARIE LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774987523",
"telephone_number": "832-429-6965",
"fax_number": "281-809-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VANESIA",
"middle_name": "REGINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-05",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "37114",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "37114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.