Individual provider Active NPI

Shuna Johnson

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1629637491
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405786 Issued in OH
Practice address
8040 Hosbrook Rd Ste 102
Cincinnati, OH 45236-2908
Phone
(513) 975-4676
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MI
Clinical Social Worker 1041C0700X I.2405786 OH Primary

Addresses

Primary practice location

8040 Hosbrook Rd Ste 102
Cincinnati, OH 45236-2908

Mailing address

4143 Drummore LN
Cincinnati, OH 45245-1672
Phone (513) 981-1114

Other identifiers 2

IdentifierTypeStateIssuer
05MedicaidMI
0MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241021001483 OH Practitioner - Clinical Social Worker 3678913159 Reassigns benefits to 1 organization
I20250326001578 MI Practitioner - Clinical Social Worker 3678913159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

8040 Hosbrook Rd
Suite 102
Cincinnati, OH 45236-2908
Phone (216) 831-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2405786OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Training and Treatment Innovations Inc CurrentSince Apr 12, 2024 Accepting new patients
Training & Treatment Innovations Inc Current Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Training and Treatment Innovations Inc CurrentSince Apr 12, 2024 Accepting new patients

Locations

929 Stevens St
Flint, MI 48502
Phone (810) 232-6081

1450 S Lapeer Rd
Oxford, MI 48371
Phone (248) 969-9932

3665 Bay Rd
Saginaw, MI 48603
Phone (989) 799-0066

13213 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (586) 939-4374

1225 E Big Beaver Rd
Troy, MI 48083
Phone (248) 524-8801

8040 Hosbrook Rd
Ste 102
Cincinnati, OH 45236
Phone (513) 975-4676

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1629637491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 DRUMMORE LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451672",
            "telephone_number": "513-981-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362908",
            "telephone_number": "513-975-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.