Active NPI
Harriet Johnson, LCSW
- Clinical Social Worker
- Alameda, CA
National Provider Identifier
1881024925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS28773
- Practice address
- 772 Esterbrook CT
Apt a
Alameda, CA 94501-3484 - Phone
- (510) 307-1685
- Fax
- (510) 307-1615
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801061974 | MI | |
| Clinical Social Worker | 1041C0700X | LCS28773 | CA | Primary |
Addresses
Primary practice location
772 Esterbrook CT
Apt a
Alameda, CA 94501-3484
Mailing address
772 Esterbrook CT
Apt a
Alameda, CA 94501-3484
Phone (510) 307-1685
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS28773 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1881024925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 ESTERBROOK CT",
"address_2": "APT A",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013484",
"telephone_number": "510-307-1685",
"fax_number": "510-307-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "772 ESTERBROOK CT",
"address_2": "APT A",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013484",
"telephone_number": "510-307-1685",
"fax_number": "510-307-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HARRIET",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801061974",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS28773",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "901 Nevin Ave",
"city": "Richmond",
"state": "CA",
"country_code": "US",
"postal_code": "948013143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.