SHIRLEY LARAINE JOHNSON (NPI# 1417166455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417166455 |
| Entity Type | Individual |
| Full Name | SHIRLEY LARAINE JOHNSON |
| Credential | LCSW |
| Practice Address |
33 N Central Ave Suite 320 Medford OR 97501-5900 |
| Practice Telephone | 5418903066 |
| Practice Fax Number | 5417793260 |
| Mailing Telephone | 5418903066 |
| Mailing Fax Number | 5417793260 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L2938 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486646 | Shirley Johnson | Registered Nurse | 12647 Adventure Dr, Riverview, FL 33579-7792 | 2020-08-04 |
| 1699300673 | Shirley Johnson | Marriage & Family Therapist | 298 Grand Ave Ste 102, Oakland, CA 94610-4895 | 2020-03-10 |
| 1497274468 | Shirley Lee Johnson | Counselor | 480 Saint Paul Church Rd, Marion, LA 71260-4835 | 2017-09-11 |
| 1770935009 | Shirley Renee Johnson | Counselor | 6761 Kristins Cove Ln, Canal Winchester, OH 43110-8684 | 2016-07-11 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1225300957 | Shirley Kay Johnson | Counselor | 1000 Grosser Rd Ste 2a, Gilbertsville, PA 19525-9225 | 2012-01-26 |
| 1326286881 | Shirley M Johnson | Specialist | 1689 Poplar Ln, Painesville, OH 44077-6127 | 2009-01-21 |
| 1245720887 | Shirley Johnson | Behavioral Analyst | 2219 S Hacienda Blvd Ste 102, Hacienda Heights, CA 91745-4610 | 2018-05-17 |
| 1942656244 | Shirley Ann Johnson | Family Medicine | 8658 N Main St, Dayton, OH 45415-1328 | 2016-05-05 |
| 1487083119 | Shirley Johnson | Registered Nurse | 150 E Market St, Warren, OH 44481-1141 | 2013-11-04 |
| Street Address |
33 N CENTRAL AVE SUITE 320 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272715 | Rick Jacobs | Psychologist | 33 N Central Ave, Medford, OR 97501-5939 | 2005-08-16 |
| 1083091540 | Derrick James Lanning | Peer Specialist | 33 N Central Ave, 419, Medford, OR 97501-5900 | 2015-05-04 |
| 1568864429 | Carol Law | Counselor | 33 N Central Ave, Suite 207, Medford, OR 97501-5900 | 2014-09-23 |
| 1215278122 | Jeffrey S Danzik | Social Worker | 33 N Central Ave, 400, Medford, OR 97501-5900 | 2013-03-04 |
| 1245409788 | Jerem St John Egan | Massage Therapist | 33 N Central Ave, Suite 410, Medford, OR 97501-5900 | 2008-02-28 |
| 1326177833 | Rita Heinz | Social Worker | 33 N Central Ave, Medford, OR 97501-5900 | 2007-03-02 |
| 1568568707 | Mb Healthcare Associates Inc | Specialist | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2006-09-15 |
| 1447286927 | Jennifer J. Hibbs | Social Worker | 33 N Central Ave, Ste. #416, Medford, OR 97501-5900 | 2006-06-25 |
| 1417931395 | Marguerite Jean Smith | Nurse Practitioner | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2005-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1962053348 | Monica Lorraine Schlie | Social Worker | 18 Forrest Ave, Medford, NY 11763-2609 | 2019-09-26 |
| 1578129623 | Patricia M Sullivan | Social Worker | 29 Welgate Rd, Medford, MA 02155-2150 | 2019-05-14 |
| 1013483841 | Howard David Harris | Social Worker | 259 Park St - Apt. 2, Medford, MA 02155-2666 | 2018-10-19 |
| 1871078469 | Lorraine Lafata | Social Worker | 14 Kilsyth Rd Fl 1, Medford, MA 02155-6522 | 2018-09-28 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1184108292 | Nancy Ann Woodfork | Social Worker | 3600 Mystic Valley Pkwy Apt W315, Medford, MA 02155-5741 | 2018-09-24 |
| 1295218758 | Julia Dennon Wise | Social Worker | 17 Wyman St, Medford, MA 02155-3401 | 2018-09-11 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1932680840 | Shreya Bansal | Social Worker | 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907 | 2018-08-28 |
| Find all providers in MEDFORD | ||||
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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.