Active NPI
Shannon Janiece Johnson, LCSW
- Clinical Social Worker
- Dublin, CA
National Provider Identifier
1487363669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 137963
- Practice address
- 5325 Broder Blvd
Dublin, CA 94568-3309 - Phone
- (925) 560-5947
- NPI assigned
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 137963 | CA | Primary |
Addresses
Primary practice location
5325 Broder Blvd
Dublin, CA 94568-3309
Mailing address
3730 Hopyard Rd Ste 103
Pleasanton, CA 94588-8510
Phone (510) 506-0719
Other practice location 1
39155 Liberty St Ste 103
Fremont, CA 94538-1513
Phone (510) 795-2434
Other practice location 2
7200 Bancroft Ave Ste 125A
Oakland, CA 94605-2457
Phone (510) 567-8100
Other practice location 3
2045 Fairmont Dr
Castro Valley, CA 94578-1088
Phone (510) 667-7500
Other practice location 4
3730 Hopyard Rd Ste 103
Pleasanton, CA 94588-8510
Phone (510) 506-0719
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1487363669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 HOPYARD RD STE 103",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888510",
"telephone_number": "510-506-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 BRODER BLVD",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683309",
"telephone_number": "925-560-5947"
}
],
"practiceLocations": [
{
"address_1": "39155 Liberty St Ste 103",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945381513",
"country_code": "US",
"telephone_number": "510-795-2434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7200 Bancroft Ave Ste 125A",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946052457",
"country_code": "US",
"telephone_number": "510-567-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2045 Fairmont Dr",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945781088",
"country_code": "US",
"telephone_number": "510-667-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3730 Hopyard Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Pleasanton",
"state": "CA",
"postal_code": "945888510",
"country_code": "US",
"telephone_number": "510-506-0719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHANNON",
"middle_name": "JANIECE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "137963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.