Alexandra Nichole Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-12131 Issued in NM

Practice address

1600 Sutter PL
Clovis, NM 88101-4611

Phone

(575) 769-4490

Fax

(575) 769-4533

NPI assigned

Mar 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clovis Municipal Schools

  • Local Education Agency (LEA)
  • Clovis, NM
  • NPI 1174662316
  NPD (past)

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1942768601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19000",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881029000",
            "telephone_number": "575-769-4490",
            "fax_number": "575-769-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SUTTER PL",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014611",
            "telephone_number": "575-769-4490",
            "fax_number": "575-769-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXANDRA",
        "middle_name": "NICHOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "C-12131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-12131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ansel Cruz Jimenez, PT
• Julie D Jimenez, COTA
• Melanie M Jimenez, LCSW
• Desiree D. Jobling
• Linda Donna Johns
• Amya Johnson
• Morgan Kendra Johnson, LCSW
• Aulani S Jones
• Jimmi Dawn Jones
• Teddy Lynn Jones, R.N, F.N.P., PH.D.

• All providers in Clovis, NM
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.