Jennifer Lynn Johnson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1000379 Issued in OH

Practice address

7530 Lucerne Dr
Suite 208
Cleveland, OH 44130-6587

Phone

(440) 239-5950

Fax

(440) 239-7445

NPI assigned

Dec 10, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florence Kimbo M.D., LLC

  • Psychiatry Physician
  • Middleburg Heights, OH
  • NPI 1457788960

  Clinical

  NPD

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1659516250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 LUCERNE DR",
            "address_2": "SUITE 208",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441306587",
            "telephone_number": "440-239-5950",
            "fax_number": "440-239-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 LUCERNE DR",
            "address_2": "SUITE 208",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441306587",
            "telephone_number": "440-239-5950",
            "fax_number": "440-239-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1000379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST  BOARD",
            "identifier": "I1000379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Johnson, RN
• Jazzie Johnson
• Jeanette Marie Johnson
• Jeannie Ellen Johnson, CNP
• Jennifer L Johnson, APRN-CNM, APRN-CNP
• Jerod Johnson
• Jessica L Johnson, PRS
• Jevon Johnson
• John L Johnson, MD
• Jovita Johnson

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.