Active NPI
Larry Steven Johnson, M.S.W., L.C.S.W.
- Clinical Social Worker
- Sheppard Afb, TX
National Provider Identifier
1770549768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S10361
- Practice address
- 149 Hart St
82 Medical Group/Credentials
Sheppard Afb, TX 76311-3477 - Phone
- (940) 676-6075
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- 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 | S10361 | TX | Primary |
Addresses
Primary practice location
149 Hart St
82 Medical Group/Credentials
Sheppard Afb, TX 76311-3477
Mailing address
149 Hart St
82 Medical Group/Credentials
Sheppard Afb, TX 76311-3477
Phone (940) 676-6075
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 |
|---|---|---|---|
| S10361 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770549768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HART ST",
"address_2": "82 MEDICAL GROUP/CREDENTIALS",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763113477",
"telephone_number": "940-676-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HART ST",
"address_2": "82 MEDICAL GROUP/CREDENTIALS",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763113477",
"telephone_number": "940-676-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LARRY",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "S10361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheppard Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.