Individual provider Active NPI

Jodi Johnson

  • Clinical Social Worker
  • Margate, FL
National Provider Identifier
1497422539
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2003 Seville St
Margate, FL 33063-2473
Phone
(954) 805-5860
NPI assigned
Aug 26, 2021
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2003 Seville St
Margate, FL 33063-2473

Mailing address

2003 Seville St
Margate, FL 33063-2473
Phone (954) 805-5860

Other identifiers 2

IdentifierTypeStateIssuer
SW15020OtherFLSTATE LICENSING BOARD
113437OtherCASTATE LICENSING BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240617003497 FL Practitioner - Clinical Social Worker 1153864228
I20241014001630 VA Practitioner - Clinical Social Worker 1153864228 Reassigns benefits to 1 organization
I20241018001499 CA Practitioner - Clinical Social Worker 1153864228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Open Mind Mental Health Physicians, Inc. Social Worker CurrentSince Jul 10, 2024 Accepting new patients

Locations

438 Camino del Rio S
Ste 106
San Diego, CA 92108
Phone (619) 303-8341

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (561) 556-2656

8401 Mayland Dr
Ste A
Richmond, VA 23294
Phone (980) 890-7995

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1497422539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SEVILLE ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632473",
            "telephone_number": "954-805-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 SEVILLE ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632473",
            "telephone_number": "954-805-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "SW15020",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "113437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.