SHELLY JOHNSON (NPI# 1114497468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114497468 |
| Entity Type | Individual |
| Full Name | SHELLY JOHNSON |
| Credential | LCSW |
| Practice Address |
91-2301 Old Ft Weaver Rd Ewa Beach HI 96706-3602 |
| Practice Telephone | 8086718511 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-4379 | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124507702 | Shelly Johnson | Technician | 27 O St Nw Apt 326, Washington, DC 20001-2383 | 2018-08-14 |
| 1326455510 | Shelly Mae Johnson | Counselor | 113 S Beech St, Bryan, OH 43506-1602 | 2014-07-19 |
| 1295033587 | Shelly Ilene Johnson | Behavioral Analyst | 21905 S Finley Rd, Kennewick, WA 99337-8733 | 2011-03-10 |
| 1750684098 | Shelly Johnson | Counselor | 3301 Cheek Pl, Del City, OK 73115-1627 | 2010-12-08 |
| 1386702736 | Shelly Nicole Johnson | Counselor | 70 Maranatha Drive, Fairmont, WV 26554 | 2006-12-05 |
| 1295237279 | Shelly Lynn Johnson | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2018-03-06 |
| 1992244800 | Shelly Johnson | Nurse Practitioner | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2017-02-13 |
| 1710343728 | Shelly Johnson | Social Worker | 7809 Airline Dr Ste 210, Metairie, LA 70003-6440 | 2016-01-06 |
| 1528461365 | Shelly Johnson | Physical Therapy Assistant | 25 W Pleasant St, Springfield, OH 45506-2278 | 2014-10-08 |
| 1508143751 | Shelly Johnson | Pharmacist | 5190 W 120th Ave, Westminster, CO 80020-3332 | 2011-11-15 |
| Street Address |
91-2301 OLD FT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215900576 | Kenneth A Delano | Psychologist | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2006-02-08 |
| 1356856686 | Zachary Callaghan | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2017-12-08 |
| 1770007148 | Eileen Ryan Boland | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2017-07-27 |
| 1952823593 | Christiana Chun | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706 | 2017-07-14 |
| 1538519871 | Joseph Anthony Francisco | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2016-06-17 |
| 1184081473 | Mestisa C Gass | Counselor | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2016-01-18 |
| 1366807968 | Lauren Schanke | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2015-12-23 |
| 1538532866 | Merizza Tapia | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2015-11-09 |
| 1609242213 | Jordan Mikala Everett | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2015-08-18 |
| 1255714697 | Connie-anne Holman | Counselor | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| 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 |
|---|---|---|---|---|
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1144729260 | Corinne Yuen Matsumoto | Social Worker | 91-105 Akekee Pl, Ewa Beach, HI 96706-3921 | 2018-02-04 |
| 1942725940 | Joelle Branch | Social Worker | 91-872 Puhikani St, Ewa Beach, HI 96706-4018 | 2017-08-10 |
| 1366985681 | Leah Teglovic | Social Worker | 91-1091 Laaulu St Apt F, Ewa Beach, HI 96706-4448 | 2016-11-18 |
| 1467849174 | Eryn Nakamura | Social Worker | 91-1360 Karayan St, Ewa Beach, HI 96706-1985 | 2015-04-20 |
| 1316373715 | Kathy Southard | Social Worker | Kahi Mohala Behavioral Health, 2301 Old Fort Weaver Rd, Ewa Beach, HI 96706 | 2013-09-18 |
| 1548518087 | Kristine Lillian Rodriguez | Social Worker | 6860 A 112th Street, Ewa Beach, HI 96706 | 2012-08-15 |
| 1568935989 | Nicole Tsuchiya | Social Worker | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2019-01-08 |
| 1366952780 | Mylinda Marie Nudd Morris | Social Worker | 91-2135 Fort Weaver Rd Ste 501, Ewa Beach, HI 96706-1929 | 2017-10-11 |
| 1770007148 | Eileen Ryan Boland | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2017-07-27 |
| Find all providers in EWA BEACH | ||||
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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.