Stacy Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013001564 Issued in MO

Practice address

134 West Park Central SQ
Springfield, MO 65806

Phone

(844) 536-8266

Fax

(844) 536-8266

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1609359116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WEST PARK CENTRAL SQ",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65806",
            "telephone_number": "844-536-8266",
            "fax_number": "844-536-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WEST PARK CENTRAL SQ",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65806",
            "telephone_number": "844-536-8266",
            "fax_number": "844-536-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013001564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D. Johnson, MD
• Robert Elias Johnson, LPC
• Rosanne M. Johnson, FNP
• Sarah Elise Johnson, PLPC
• Sarah Kathleen Johnson, MS
• Stephen Allen Johnson
• Susan Mary Johnson, M.S., L.P.C.
• Theresa L Johnson, MSW, LCSW
• Traci N Johnson, M.D.
• Tyler Johnson, CNM

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.