Active NPI
Melissa M Johnson LCSW LLC
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1831803352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MELISSA M JOHNSON LCSW LLC
- Practice address
- 11016 Fairway Pointe Dr
Louisville, KY 40241-3414 - Phone
- (502) 322-7227
- NPI assigned
- Jan 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Johnson
- Title
- Owner
- Phone
- (502) 322-7227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11016 Fairway Pointe Dr
Louisville, KY 40241-3414
Mailing address
PO Box 4755
Louisville, KY 40204-0755
Phone (502) 322-7227
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissa@gatewaytherapylou.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Louisville, KY
- NPI 1811328628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1831803352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4755",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402040755",
"telephone_number": "502-322-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11016 FAIRWAY POINTE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402413414",
"telephone_number": "502-322-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA M JOHNSON LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-322-7227"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissa@gatewaytherapylou.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11016 Fairway Pointe Dr",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402413414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.