Active NPI
Lana Johnson LCSW LLC
- Clinical Social Worker
- White Pigeon, MI
National Provider Identifier
1639543747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006584A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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.