Patricia Ann Johnson, LCSW, CSAC, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3185 Issued in HI

Practice address

86-120 Farrington Hwy
A-107
Waianae, HI 96792-3000

Phone

(808) 292-8685

Fax

(808) 696-5079

NPI assigned

Feb 16, 2007

Last updated

May 1, 2012By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1669516209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-120 FARRINGTON HWY",
            "address_2": "A-107",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923000",
            "telephone_number": "808-292-8685",
            "fax_number": "808-696-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-120 FARRINGTON HWY",
            "address_2": "A-107",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923000",
            "telephone_number": "808-292-8685",
            "fax_number": "808-696-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LCSW, CSAC, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret C Ishida
• Robin Michiko Shimamoto Isobe, R.D.
• Ginger Jackson
• James Care, LLC
• Jodi Kiilani Aiu Johnson, LCSW
• Monica Nicole Joiner, APRN
• David Russell Jones, MD
• Barbara Jordan
• Joyce Home Care
• Andrea June

• Clinical Social Worker in Waianae, HI
• Providers in Waianae, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.