Sammantha Johnson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC18872 Issued in ME

Practice address

501 Forest Ave
Portland, ME 04101-1503

Phone

(207) 536-1590

NPI assigned

May 12, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Gateway Community Services Maine

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1184137473
  NPD (past)
• Gateway Community Services, LLC

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1083082630
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1790369023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011503",
            "telephone_number": "207-536-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC18872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "address_1": "501 Forest Ave",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041011503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latrice Johnson, MD
• Matthew L Johnson, MD
• Pamela Lang Johnson, MS, CCC-SLP
• Rosemary Johnson, N.P.
• Samantha Lynn Johnson, CRNA
• Sarah Johnson, DO
• Sarah E Johnson, LCPC
• Shaun Johnson, RN
• Douglas Johnston, MD
• Janice Johnston

• Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.