Jennifer D Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

273804-3501 Issued in UT

Practice address

2148 S Berkeley St
Salt Lake City, UT 84109-1113

Phone

(801) 699-0500

NPI assigned

Apr 26, 2021

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

Electronic endpoints 1

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": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1851973226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 S BERKELEY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091113",
            "telephone_number": "801-699-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 S BERKELEY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091113",
            "telephone_number": "801-699-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "273804-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jdjohnsonlcsw@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2148 S Berkeley St",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841091113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaden Stanley Johnson
• James Grant Johnson, MSW LCSW
• Jamie Johnson
• Jason Lynn Johnson, M.D.
• Jeff Johnson, PHARMD
• Jessica Johnson, TRT
• Jessica Johnson, M.D.
• Jessica Johnson, CSW
• Jessica Boynton Johnson, MD
• Joanna M Johnson, A.P.R.N.

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.