Individual provider Active NPI

Nancy Alice Johnson, MSW, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1578585584
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1244 Issued in KS
Practice address
5040 Bob Billings Pkwy
Ste D-1
Lawrence, KS 66049-3873
Phone
(785) 843-6002
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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 1244 KS Primary

Addresses

Primary practice location

5040 Bob Billings Pkwy
Ste D-1
Lawrence, KS 66049-3873

Mailing address

5040 Bob Billings Pkwy
Ste D-1
Lawrence, KS 66049-3873
Phone (785) 843-6002

Other identifiers 3

IdentifierTypeStateIssuer
6276093OtherKSUBH PROVIDER
60215OtherKSCIGNA PROVIDER
010195OtherKSBCBS PROVIDER

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

LicenseStateTypeSpecialty
1244KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1578585584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 BOB BILLINGS PKWY",
            "address_2": "STE D-1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493873",
            "telephone_number": "785-843-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 BOB BILLINGS PKWY",
            "address_2": "STE D-1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493873",
            "telephone_number": "785-843-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NANCY",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "MSW, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROVIDER",
            "identifier": "6276093",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER",
            "identifier": "60215",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  PROVIDER",
            "identifier": "010195",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.