Individual provider Active NPI

Rachel Jean Johnson

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1457721557
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110341 Issued in CA
Practice address
2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone
(661) 868-1840
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW73282 CA
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 110341 CA Primary

Addresses

Primary practice location

2525 N Chester Ave
Bakersfield, CA 93308-1770

Mailing address

3628 Stockdale Hwy
Bakersfield, CA 93309-2153
Phone (661) 322-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221121003051 CA Practitioner - Clinical Social Worker 6103294202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW73282CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Clinical CurrentSince Sep 6, 2022 Accepting new patients
County of Kern Case Manager/Care Coordinator CurrentSince Sep 6, 2022 Accepting new patients
County of Kern Case Manager/Care Coordinator Current Accepting new patients

Locations

3628 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 322-1021

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

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.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1457721557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092153",
            "telephone_number": "661-322-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081770",
            "telephone_number": "661-868-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW73282",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.