Active NPI
Kathy Johansen
- Clinical Social Worker
- Ogden, UT
National Provider Identifier
1518318930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 533 26TH St
Ogden, UT 84401-2465 - Phone
- (801) 643-4817
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
533 26TH St
Ogden, UT 84401-2465
Mailing address
330 E 3325 N
North Ogden, UT 84414-1538
Phone (801) 643-4817
Other practice location 1
934 S Main St
Layton, UT 84041-7135
Phone (801) 773-7060
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": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1518318930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 3325 N",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844141538",
"telephone_number": "801-643-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 26TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844012465",
"telephone_number": "801-643-4817"
}
],
"practiceLocations": [
{
"address_1": "934 S Main St",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840417135",
"country_code": "US",
"telephone_number": "801-773-7060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHANSEN",
"first_name": "KATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.