Angela D Johnsen, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0008277-SUPV Issued in OH

Practice address

204 Cook Rd
Lebanon, OH 45036

Phone

(513) 228-7800

Fax

(513) 725-2231

NPI assigned

Mar 3, 2006

Last updated

Jun 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Angela D Phillips Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Cincinnati Behavioral Health Services

  • Community/Behavioral Health Agency
  • Walnut Hills, OH
  • NPI 1720251788
  Medicare reassignment NPD
• Greater Cincinnati Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walnut Hills, OH
  • NPI 1588626097
  NPD
• Greater Cincinnati Behavioral Health Services

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1871486183
  NPD

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1972570364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COOK RD STE 400",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369600",
            "telephone_number": "513-228-7800",
            "fax_number": "513-725-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 COOK RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-228-7800",
            "fax_number": "513-725-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0008277-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000246037",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11689424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PHILLIPS",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Jenkins
• Jennifer Gay Jensen, P.T.
• Susan Dix Jividen, OT
• JM NP Telehealth LLC
• Jobar Companies (BrightStar Health Care)
• Alicia A Johnson, LISW, ICDC
• Allison Johnson, P.T.
• Amy J Johnson
• Blaire Johnson, QMHP
• Dominique A Johnson

• Clinical Social Worker in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.