Judy A Johnson, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 4099 Issued in HI

Practice address

75-5914 Mamalahoa Hwy
Holualoa, HI 96725

Phone

(619) 933-3771

NPI assigned

Sep 7, 2010

Last updated

Mar 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Light Hearts Counselling

  • Community/Behavioral Health Agency
  • La Mesa, CA
  • NPI 1538597547
  Authorized official Same address or phone

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1811204373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "967250752",
            "telephone_number": "619-933-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5914 MAMALAHOA HWY",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "96725",
            "telephone_number": "619-933-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUDY",
        "middle_name": "A",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCS 4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela K Gomes
• Sarah Gschweng, BSS
• Hawaii Longevity and Regenerative Medicine LLC
• Melissa Yon Jenkins, PHARM.D
• Angela Martinez Johnson
• Kai McBride LMFT
• Joseph Kassel, N.D.,L.AC.
• Payton Kim
• Kenneth Ray Kirchner, PHD
• Raymond Louis Lagger, MD

• Clinical Social Worker in Holualoa, HI
• Providers in Holualoa, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.