JESSICA CHARMAINE JOHNSON (NPI# 1114322583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114322583 |
| Entity Type | Individual |
| Full Name | JESSICA CHARMAINE JOHNSON |
| Credential | LCSW |
| Practice Address |
559 Vincent St, Bldg 959 Attn: 21 Omrs/sgow Peterson Afb CO 80914 |
| Practice Telephone | 7195567804 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C010714 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1134747165 | Jessica Johnson | Registered Nurse | 535 Los Alamos Rd, Santa Rosa, CA 95409-4425 | 2020-07-07 |
| 1710504311 | Jessica Lee Johnson | Registered Nurse | 7373 W 6th Ave, Lakewood, CO 80214-4518 | 2020-06-30 |
| 1427670827 | Jessica Johnson | Registered Nurse | 745 Shaker Mill Rd, Bowling Green, KY 42103-9064 | 2020-05-08 |
| 1124649926 | Jessica Delores Johnson | Nurse Practitioner | 360 Ossie Davis Pkwy, Waycross, GA 31501-4566 | 2020-05-03 |
| 1467084806 | Jessica Lyn Johnson | Specialist/Technologist | 23 E 157th Pl S, Glenpool, OK 74033-4437 | 2020-02-04 |
| 1215588819 | Jessica Johnson | Counselor | 1001 John D Odom Rd, Dothan, AL 36303-9485 | 2019-09-25 |
| 1356905145 | Jessica Johnson | Technician | 2506 14th St Ne Apt 2, Washington, DC 20018-1928 | 2019-04-26 |
| 1043776503 | Jessica Johnson | Nurse Practitioner | 3303 Duval St, Jupiter, FL 33458-8259 | 2019-02-20 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| Street Address |
559 VINCENT ST, BLDG 959 ATTN: 21 OMRS/SGOW |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1225310162 | Zachary Edward Bishop | Pharmacist | 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 | 2011-09-16 |
| 1659603256 | Thomas Wescott Mahoney | Family Medicine | 559 Vincent St, 21 Mdos/sgof Attn: Family Health, Peterson Afb, CO 80914 | 2010-02-05 |
| Find all providers in zip 80914 | ||||
| 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 |
|---|---|---|---|---|
| 1902188733 | Kim Lee Vehige | Social Worker | 559 Vinvent, Attn: 21 Mdos/sgohf-mental Health, Peterson Afb, CO 80914-1540 | 2011-09-19 |
| 1649891557 | Ryan Barney | Social Worker | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2020-05-01 |
| 1851841571 | Candee Berck | Social Worker | 559 Vincent St., Attn: 21 Mdos/sgow-mental Health, Peterson Afb, CO 80914-1540 | 2016-10-05 |
| 1063778819 | Ryan S Ogilvy | Social Worker | 559 Vincent St, Attn: 21mdos/sgow- Mental Health, Peterson Afb, CO 80914-1541 | 2012-04-05 |
| 1063709582 | Rebecca Lynne Thompson | Social Worker | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2011-07-05 |
| 1144493198 | Catherine Marie Kerrigan | Social Worker | 559 Vincent St., Attn: 21 Mdos/sgoh - Mental Health, Peterson Afb, CO 80914-1540 | 2008-04-10 |
| 1649448275 | Monique Mcwilliams Wall | Social Worker | 110 W Ent Ave, Attn: 21 Mdos/sgoh-mental Health, Peterson Afb, CO 80914-1595 | 2008-02-17 |
| 1568436640 | Lanesa Denses Howard | Social Worker | 559 Vincent St, Peterson Afb, CO 80914-1540 | 2006-02-15 |
| 1730152810 | Jeanette Susan Barzee | Social Worker | 559 Vincent St, Attn: 21 Mdos/sgow, Peterson Afb, CO 80914-1541 | 2006-02-09 |
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|---|---|---|---|---|
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| 1750982815 | Caitlin Opland | Social Worker | 6416 S Robb Way, Littleton, CO 80127-5853 | 2020-11-05 |
| 1144821364 | Faith Nielsen | Social Worker | 812 Mcgraw Dr, Fort Collins, CO 80526-3977 | 2020-11-04 |
| 1992305791 | Heather's Healing Therapy | Social Worker | 3550 S Harlan St Unit 267, Denver, CO 80235-2712 | 2020-10-30 |
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1972102432 | Melinda Stern Meiering | Social Worker | 1775 W 2nd Ave, Durango, CO 81301-5003 | 2020-10-25 |
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1073112223 | Sarah Laub | Social Worker | 2620 Red Fox Ct, Fort Collins, CO 80526-5285 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
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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.