Active NPI
Estefana Johnson, LMSW
- Clinical Social Worker
- Gilbert, AZ
National Provider Identifier
1821602319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16315
- Practice address
- 4001 E Baseline Rd Ste 204
Gilbert, AZ 85234-2743 - Phone
- (480) 757-5240
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 16315 | AZ | Primary |
Addresses
Primary practice location
4001 E Baseline Rd Ste 204
Gilbert, AZ 85234-2743
Mailing address
4001 E Baseline Rd Ste 204
Gilbert, AZ 85234-2743
Phone (480) 757-5240
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 |
|---|---|---|---|
| 16315 | AZ | MD | Clinical Social Worker |
Interoperability endpoints
- estefana.johnson.1@32088.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1821602319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 E BASELINE RD STE 204",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342743",
"telephone_number": "480-757-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 E BASELINE RD STE 204",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342743",
"telephone_number": "480-757-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ESTEFANA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "16315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.