James Kristoff Johansen – Clinical Social Worker

Key facts

NPI: 1669947966
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: LCSW97882 (CA)
Practice address: 6450 W Sunset Blvd # 1255
Hollywood, CA 90028-7315
Phone: (619) 359-9783
NPI assigned: Oct 12, 2018
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Stepping Stone of San Diego, Inc. Substance Abuse Rehabilitation Facility · San Diego, CA · NPI 1013045905

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
ASW75667	CA	MD	Social Worker
LCSW97882	CA	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Stepping Stone of San Diego, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	ASW75667	CA
Clinical Social Worker	1041C0700X	LCSW97882	CA	Yes

Addresses

Primary practice location

6450 W Sunset Blvd # 1255
Hollywood, CA 90028-7315

Mailing address

3767 Central Ave
San Diego, CA 92105-2506
Phone (619) 278-0777

Other providers in Hollywood, CA

All providers in Hollywood, CA · Clinical Social Worker in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.