Active NPI
Marina Johnson, LCSW
- Clinical Social Worker
- Lancaster, CA
National Provider Identifier
1790283877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81130
- Practice address
- 340 E Avenue I Ste 108
Lancaster, CA 93535-1941 - Phone
- (661) 729-8655
- NPI assigned
- Jan 24, 2018
- 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 | 81130 | CA | Primary |
Addresses
Primary practice location
340 E Avenue I Ste 108
Lancaster, CA 93535-1941
Mailing address
11301 Wilshire Blvd # 122
Los Angeles, CA 90073-1003
Phone (661) 729-8655
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 |
|---|---|---|---|
| 81130 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1790283877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD # 122",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "661-729-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E AVENUE I STE 108",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935351941",
"telephone_number": "661-729-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.