Susan C Johnson, Licsw, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN C JOHNSON, LICSW, PLLC

Practice address

513 E 8TH St
Port Angeles, WA 98362-6221

Phone

(360) 775-9081

NPI assigned

Jan 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan C Johnson, LICSWNPI 1568880680

Title

Licsw

Phone

(360) 775-9081

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Crumley Johnson, LCSW

  • Clinical Social Worker
  • Port Angeles, WA
  • NPI 1568880680
  NPD Authorized official

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1912776972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S LIBERTY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626650",
            "telephone_number": "859-699-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626221",
            "telephone_number": "360-775-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C JOHNSON, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "360-775-9081",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Nicholas Stratford, LMP
• Marilyn V. Stucker, PA-C
• Matthew Keefer Sturm, MD
• Kaylee Sullivan
• Caitlin Elizabeth Sundin
• Jeffrey Sutherland
• Larry R Sutton, MAC, LAC, CDP
• Vickie Lynn Sutton, CDP
• Dayna Loren Svendsen
• Anna Catherine Swanson, LMP

• Clinical Social Worker in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.