Irene Johnson, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0009293 Issued in OH

Practice address

320 Executive Dr
Marion, OH 43302-6373

Phone

(740) 387-5210

Fax

(740) 382-3713

NPI assigned

Jul 18, 2006

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Third Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1861170565
  Medicare reassignment NPD
• Third Street Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Bucyrus, OH
  • NPI 1669158838
  Medicare reassignment NPD
• Third Street Community Clinic, Inc

  • Community/Retail Pharmacy
  • Mansfield, OH
  • NPI 1497485973
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1831118462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026310",
            "telephone_number": "740-387-5210",
            "fax_number": "740-382-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026373",
            "telephone_number": "740-387-5210",
            "fax_number": "740-382-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta K Jaycox, CRNA
• Jenkins Home & Healthcare Agency Jhha
• Shelby Jenkins
• David George Jess, DDS
• Todd Aaron Joachim I, DC
• James Cameron Johnson, D.O.
• Jeana Johnson, LPC
• Joseph William Johnson
• Joshua Johnson
• Miranda L Johnson

• Clinical Social Worker in Marion, OH
• Providers in Marion, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.