Organization Active NPI

Lana Johnson LCSW LLC

  • Clinical Social Worker
  • White Pigeon, MI
National Provider Identifier
1639543747
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006584A Issued in IN
Legal business name
LANA JOHNSON LCSW LLC
Practice address
10761 Riverside Dr
White Pigeon, MI 49099-9191
Phone
(574) 400-5724
Fax
(574) 293-0019
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Lana Beth Johnson, LCSW
Title
President
Phone
(574) 400-5724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34006584A IN Primary

Addresses

Primary practice location

10761 Riverside Dr
White Pigeon, MI 49099-9191

Mailing address

10761 Riverside Dr
White Pigeon, MI 49099-9191
Phone (574) 400-5724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1639543747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10761 RIVERSIDE DR",
            "city": "WHITE PIGEON",
            "state": "MI",
            "postal_code": "490999191",
            "telephone_number": "574-400-5724",
            "fax_number": "574-293-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10761 RIVERSIDE DR",
            "city": "WHITE PIGEON",
            "state": "MI",
            "postal_code": "490999191",
            "telephone_number": "574-400-5724",
            "fax_number": "574-293-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANA JOHNSON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-400-5724",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006584A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Pigeon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.