Active NPI
Sarah Christine Johnson, LCSW
- Clinical Social Worker
- Fairview, OR
National Provider Identifier
1750840104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7731
- Practice address
- 1800 NE Market Dr
Fairview, OR 97024-7000 - Phone
- (503) 660-0676
- NPI assigned
- Mar 15, 2019
- Last updated
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L7731 | OR | Primary |
Addresses
Primary practice location
1800 NE Market Dr
Fairview, OR 97024-7000
Mailing address
65665 E Alpine Way
Rhododendron, OR 97049-9769
Phone (503) 828-2191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7731 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1750840104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65665 E ALPINE WAY",
"city": "RHODODENDRON",
"state": "OR",
"postal_code": "970499769",
"telephone_number": "503-828-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NE MARKET DR",
"city": "FAIRVIEW",
"state": "OR",
"postal_code": "970247000",
"telephone_number": "503-660-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SARAH",
"middle_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.