Individual provider Active NPI

Donna Lee Johnson, L.C.S.W.

  • Social Worker
  • Boca Raton, FL
National Provider Identifier
1629198346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW1772 Issued in FL
Practice address
4205 Sugar Pine Dr
Boca Raton, FL 33487-1103
Phone
(561) 997-5372
Fax
(561) 241-3018
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW1772 FL Primary

Addresses

Primary practice location

4205 Sugar Pine Dr
Boca Raton, FL 33487-1103

Mailing address

4205 Sugar Pine Dr
Boca Raton, FL 33487-1103
Phone (561) 997-5372

Other identifiers 1

IdentifierTypeStateIssuer
L.C.S.W.OtherFLLICENCED CLINICAL SOCIAL

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

State licenses

LicenseStateTypeSpecialty
SW1772FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629198346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SUGAR PINE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871103",
            "telephone_number": "561-997-5372",
            "fax_number": "561-241-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SUGAR PINE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871103",
            "telephone_number": "561-997-5372",
            "fax_number": "561-241-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONNA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW1772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED CLINICAL SOCIAL",
            "identifier": "L.C.S.W.",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.