Active NPI
Nathan Johnson
- Clinical Social Worker
- Ogden, UT
National Provider Identifier
1528518206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10831088-3501
- Practice address
- 1015 Hislop Dr
Ogden, UT 84404-5313 - Phone
- (801) 917-6024
- NPI assigned
- Oct 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW023522 | PA | |
| Clinical Social Worker | 1041C0700X | 10831088-3501 | UT | Primary |
| Clinical Social Worker | 1041C0700X | C015803 | NC | |
| Clinical Social Worker | 1041C0700X | LCSW-42760 | ID | |
| Clinical Social Worker | 1041C0700X | 107580 | TX |
Addresses
Primary practice location
1015 Hislop Dr
Ogden, UT 84404-5313
Mailing address
1015 Hislop Dr
Ogden, UT 84404-5313
Phone (801) 917-6024
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-42760 | ID | MD | Clinical Social Worker |
| C015803 | NC | MD | Clinical Social Worker |
| CW023522 | PA | MD | Clinical Social Worker |
| 107580 | TX | MD | Clinical Social Worker |
| 10831088-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1528518206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 HISLOP DR",
"city": "OGDEN",
"state": "UT",
"postal_code": "844045313",
"telephone_number": "801-917-6024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 HISLOP DR",
"city": "OGDEN",
"state": "UT",
"postal_code": "844045313",
"telephone_number": "801-917-6024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-06",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW023522",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "10831088-3501",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015803",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-42760",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "107580",
"primary": false
}
],
"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 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.