Individual provider Active NPI

Magdalena Johnson, MSW

  • Clinical Social Worker
  • Des Moines, WA
National Provider Identifier
1972902864
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60627693 Issued in WA
Practice address
PO Box 98362
Des Moines, WA 98198-0362
Phone
(971) 403-0568
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60627693 WA Primary
Clinical Social Worker 1041C0700X L8534 OR

Addresses

Primary practice location

PO Box 98362
Des Moines, WA 98198-0362

Mailing address

PO Box 98362
Des Moines, WA 98198-0362
Phone (971) 403-0568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20241021001719 WA Practitioner - Clinical Social Worker 4486186020 Reassigns benefits to 1 organization
Practice locations: Kent, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ria Health PCGroup PAC ID 6204235682, 16 clinicians

Practice addresses (Care Compare)

Kent, WA 98032
Phone (877) 627-0369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8534ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ria Health PC CurrentSince Feb 6, 2025 Accepting new patients
Roundtable Therapy and Consulting PLLC CurrentSince Jul 7, 2024 Accepting new patients

Locations

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

5305 River Rd N
Ste B
Keizer, OR 97303
Phone (248) 221-1670

6100 219th St SW
Ste 480
Mountlake Terrace, WA 98043
Phone (425) 405-0894

Interoperability endpoints

  • Direct secure messaging: magdalena.johnson.1@16211.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1972902864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98362",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981980362",
            "telephone_number": "971-403-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 98362",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981980362",
            "telephone_number": "971-403-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAGDALENA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60627693",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.