Nicole Christine Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58993 Issued in TX

Practice address

715 Discovery Blvd
Suite 115
Cedar Park, TX 78613-2287

Phone

(512) 260-6990

NPI assigned

May 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rise Therapeutic Services

  • Clinical Social Worker
  • Cedar Park, TX
  • NPI 1427534270
  NPD (past) Authorized official
• Achieve Pediatric Therapy & Rehab PC

  • Pediatric Occupational Therapist
  • Cedar Park, TX
  • NPI 1205195070
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1639581879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 SHIRE",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137830",
            "telephone_number": "773-517-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD",
            "address_2": "SUITE 115",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132287",
            "telephone_number": "512-260-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soma B Johari, M.D.
• Amy Elaine Johnson, OTR
• Calissta Johnson, PHARMD
• Cambre Shonbrae Johnson
• Kristi Johnson
• Robin Fayvonne Johnson, LMSW
• Sherry Johnson, LCDC
• Tamara Kaye Johnson, LCDCI
• Whittney Johnson
• Sara Caitlin Johnstone, OTR

• Clinical Social Worker in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.