Individual provider Active NPI

Elizabeth Ann Johnson, LSW

  • Clinical Social Worker
  • Salem, IN
National Provider Identifier
1720685100
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33009237A Issued in IN
Practice address
1321 S Jackson St
Salem, IN 47167-9730
Phone
(812) 883-3095
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33009237A IN Primary

Addresses

Primary practice location

1321 S Jackson St
Salem, IN 47167-9730

Mailing address

1321 S Jackson St
Salem, IN 47167-9730
Phone (812) 883-3095

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.johnson@lifespringhealthsystems.org Direct
Direct Messaging Address elizabeth.johnson@lifespringhealthsystems.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20220729000510 IN Practitioner - Clinical Social Worker 9335529031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespring, IncGroup PAC ID 5294624508, 65 clinicians

Practice addresses (Care Compare)

1321 S Jackson St
Salem, IN 47167-9730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33009237AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring Inc. CurrentSince May 19, 2022 Accepting new patients
Lifespring Inc CurrentSince May 19, 2022 Accepting new patients
Lifespring, Inc CurrentSince May 19, 2022 Accepting new patients
Lifespring, Inc Current Accepting new patients

Locations

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1321 S Jackson St
Salem, IN 47167
Phone (812) 883-3095

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1720685100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S JACKSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679730",
            "telephone_number": "812-883-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S JACKSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679730",
            "telephone_number": "812-883-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33009237A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.johnson@lifespringhealthsystems.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1321 S Jackson St",
            "city": "Salem",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471679730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.johnson@lifespringhealthsystems.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1321 S Jackson St",
            "city": "Salem",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471679730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.