NICHOLETTE DAWN JOHNSON (NPI# 1053960245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053960245 |
| Entity Type | Individual |
| Full Name | NICHOLETTE DAWN JOHNSON |
| Practice Address |
1940 Baseline Rd La Verne CA 91750-2148 |
| Mailing Address |
158 Gentry St Pomona CA 91767-2100 |
| Practice Telephone | 9093921344 |
| Mailing Telephone | 9095998222 |
| Mailing Fax Number | 9095998223 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
89288 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 158 Gentry St, Pomona, CA 917672100 | 9095998222 | 9095998223 |
| 16226 E Benwick St., Valinda, CA 917441301 | 6269170857 | |
| 1923 E Eckerman Ave, West Covina, CA 917911113 | 6263324600 | |
| 30 Country Wood Dr, Pomona, CA 917664818 | 9093324600 | |
| 8814 Santa Fe Springs Rd, Whittier, CA 906062821 | 5626981062 |
| Street Address |
1940 BASELINE RD |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245660398 | Mariza Alarcon | Case Manager/Care Coordinator | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2013-11-26 |
| 1598383044 | Kelley Martinez | Case Manager/Care Coordinator | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2020-07-10 |
| 1144869207 | Stephanie Elizabeth Huff | Case Manager/Care Coordinator | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2020-01-06 |
| 1285186981 | Heritage Group Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2016-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750767216 | Kristin Zelarney Podley | Social Worker | 4906 Raymond Dr, La Verne, CA 91750-2221 | 2015-08-07 |
| 1457789711 | Cynthia Archer | Social Worker | 2202 Blossom Ln, La Verne, CA 91750-5211 | 2013-10-24 |
| 1467787994 | Sophia Viscarra-estrada | Social Worker | 6601 Stephens Ranch Rd, La Verne, CA 91750-1146 | 2009-10-16 |
| 1942861075 | Suzanne Renee Moore | Social Worker | 233 Baseline Rd, La Verne, CA 91750 | 2019-06-28 |
| 1053896100 | Tiawny Barnes | Social Worker | 233 Baseline Rd, La Verne, CA 91750-2353 | 2018-09-25 |
| 1902395130 | Jessica Andrea Marca | Social Worker | 6631 Stephens Ranch Rd, La Verne, CA 91750-1146 | 2018-05-03 |
| 1689034977 | Carolina Altamirano | Social Worker | 233 Baseline Rd, La Verne, CA 91750-2353 | 2016-02-29 |
| 1295159176 | William F. Sanchez Jr. | Social Worker | 233 Baseline Rd, La Verne, CA 91750-2353 | 2014-02-12 |
| 1477749570 | Muna M Hattar-mendoza | Social Worker | 233 Baseline Rd, La Verne, CA 91750-2353 | 2007-09-21 |
| 1063532505 | Beverly Ann Featherston | Social Worker | 1350 3rd St, La Verne, CA 91750-5201 | 2007-03-29 |
| Find all providers in LA VERNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.