Lara Breed Johnson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001011721 Issued in MO

Practice address

3217 Broadway St
Suite 150
Kansas City, MO 64111-2656

Phone

(816) 753-5280

Fax

(816) 753-4219

NPI assigned

Jun 21, 2006

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 names 1

• Miss Lara Louise Breed Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710923487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 N HICKORY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641182794",
            "telephone_number": "816-436-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 BROADWAY ST",
            "address_2": "SUITE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112656",
            "telephone_number": "816-753-5280",
            "fax_number": "816-753-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LARA",
        "middle_name": "BREED",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001011721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "BREED",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Johnson
• Kimberly Dawn Johnson, M.D.
• Knikkia Chartez Johnson, LMSW
• Kristen Johnson
• Laken Johnson
• Leslie Johnson, RD LD
• Leslie Lynelle Johnson, P.T.
• Madeline Johnson, MD
• Margret Johnson
• Mathew Johnson

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.