Kadija Lisa Johnston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16813 Issued in CA

Practice address

1001 Potrero Ave
Building 9 Room 130
San Francisco, CA 94110-3518

Phone

(415) 206-5082

Fax

(415) 206-4722

NPI assigned

Jan 17, 2007

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

Other names 1

• Ms. Lisa Lynn Johnston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821140096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 RAMONA AVE",
            "address_2": "-",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061817",
            "telephone_number": "415-206-5082",
            "fax_number": "415-206-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "BUILDING 9 ROOM 130",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5082",
            "fax_number": "415-206-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KADIJA",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JOHNSTON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tori Renee Johnson
• Tyrone Anthony Johnson, MD
• Yeva M. Johnson, MD, MPH
• Yolanda Christine Johnson
• Angela Dawn Johnston Willis, PHARM.D.
• Michelle FP Johnston, CNM
• Rowan Autumn Johnston, BA
• S Claiborne Johnston, M.D.
• Alan Johnstone, FNP
• Erica Elaine Johnstone, M.D.

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.