Charles Johnson, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5011958-3502 Issued in UT

Practice address

740 E 3900 S
# 100
Salt Lake City, UT 84107-2181

Phone

(801) 313-0555

NPI assigned

May 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Utah School of Medicine, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Lotus Center IncGroup PAC ID 4284923491, 13 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Lotus Center Inc

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1992167118
  Medicare reassignment Care Compare group NPD
• Lotus Center Inc

  • Case Management Agency
  • Salt Lake City, UT
  • NPI 1184415622
  NPD (past)

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1972896702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 W 1500 N",
            "city": "WEST POINT",
            "state": "UT",
            "postal_code": "840158354",
            "telephone_number": "801-336-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 3900 S",
            "address_2": "# 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072181",
            "telephone_number": "801-313-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5011958-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan D Johnson
• Carrie Lynn Johnson, M.D.
• Catherine Bogan Johnson, NP
• Chandreyee Claudia Johnson
• Charles Johnson
• Christopher S Johnson, D.D.S.
• Clark Woodrow Johnson, M.D.
• Corinne Johnson, LCSW
• Courtney Jillian Johnson, OTR/L
• Daxton Mark Johnson

• 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 May 26, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.