Shawn Michael Johnson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1901864 Issued in OH

Practice address

827 W Martindale Rd
Union, OH 45322-2927

Phone

(937) 477-2075

NPI assigned

Apr 18, 2012

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1396002069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W MARTINDALE RD",
            "city": "UNION",
            "state": "OH",
            "postal_code": "453222927",
            "telephone_number": "937-477-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W MARTINDALE RD",
            "city": "UNION",
            "state": "OH",
            "postal_code": "453222927",
            "telephone_number": "937-477-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC161906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1901864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Foster
• Graceworks Enhanced Living (Martindale Home)
• Rebecca Jane Gruber, MS. ED. LSC/LPC
• Heartfidelity Homecare LLC
• Rondella Hurd, LPN
• Brooke Renee Kidd
• Jerica Burnice Kunkel, LPN
• Megan Lash, FNP-C
• Alberto Maldonado
• Sarah Lynn Miller

• Clinical Social Worker in Union, OH
• Providers in Union, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.