Craig Elliott Johnson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW1941 Issued in CA

Practice address

2740 Fulton Ave
Suite 102
Sacramento, CA 95821-5108

Phone

(916) 482-7058

Fax

(916) 481-2230

NPI assigned

Feb 5, 2007

Sex

Male

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

Enrolled in CA

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 1

Specialty

Clinical Social Worker

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1609915750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 FULTON AVE",
            "address_2": "SUITE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215108",
            "telephone_number": "916-482-7058",
            "fax_number": "916-481-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 FULTON AVE",
            "address_2": "SUITE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215108",
            "telephone_number": "916-482-7058",
            "fax_number": "916-481-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRAIG",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clenzo Johnson Jr., CADC-II CA
• Connell Lloyd Johnson III
• Consuelo Cheri Johnson, ADN, RN
• Cora Johnson
• Cortez Malik Johnson
• Darneisha Earlnique Johnson
• David Johnson
• Deana Lori Johnson, CADC II
• Deanna C Johnson, ASW
• Debra Jolyn Johnson, M.D.

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.