Active NPI
Alison Johnson, LCSW
- Clinical Social Worker
- Canby, OR
National Provider Identifier
1639500804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6304
- Practice address
- 11303 S Mulino Rd
Canby, OR 97013 - Phone
- (541) 404-5577
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A2801 | OR | |
| Clinical Social Worker | 1041C0700X | L6304 | OR | Primary |
Addresses
Primary practice location
11303 S Mulino Rd
Canby, OR 97013
Mailing address
11303 S Mulino Rd
Canby, OR 97013-6727
Phone (541) 404-5577
Other practice location 1
11303 S Mulino Rd Ste 101
Canby, OR 97013
Phone (971) 209-3492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500666178 | Medicaid | OR |
Other names 1
- Alison M Tramel
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
| License | State | Type | Specialty |
|---|---|---|---|
| A2801 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alison Johnson | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1639500804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11303 S MULINO RD",
"city": "CANBY",
"state": "OR",
"postal_code": "970136727",
"telephone_number": "541-404-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11303 S MULINO RD",
"city": "CANBY",
"state": "OR",
"postal_code": "97013",
"telephone_number": "541-404-5577"
}
],
"practiceLocations": [
{
"address_1": "11303 S Mulino Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Canby",
"state": "OR",
"postal_code": "97013",
"country_code": "US",
"telephone_number": "971-209-3492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALISON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A2801",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500666178",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALISON",
"last_name": "TRAMEL",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Canby, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.