Melissa Lannie Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC60488573 Issued in WA

Practice address

1035 NW Nye St Ste a
Pullman, WA 99163-3428

Phone

(425) 508-8717

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1457000697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991630774",
            "telephone_number": "425-508-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 NW NYE ST STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633428",
            "telephone_number": "425-508-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "LANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60488573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd James Johanson, PHARMD
• Allison Camille Johnson, OTR/L
• Corey Dean Johnson, CRNA
• Elizabeth Anne Johnson
• Jeanne M Johnson, PH.D., CCC-SLP
• Sue Anne Johnson, LMT
• Jonathan B Fisher, DDS,PLLC
• Jonathan M. Fairbanks, D.D.S., PLLC
• Carla A Jones, M.A., CCC-SLP
• David T Jones, MD

• Clinical Social Worker in Pullman, WA
• Providers in Pullman, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.