MR. CLYDE JOHNSON (NPI# 1568767317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568767317 |
| Entity Type | Individual |
| Full Name | MR. CLYDE JOHNSON |
| Credential | LCSW |
| Practice Address |
930 N 14th St New Castle IN 47362-4311 |
| Mailing Address |
240 N Tillotson Ave Muncie IN 47304-3988 |
| Practice Telephone | 7652881928 |
| Practice Fax Number | 7657410335 |
| Mailing Telephone | 7652881928 |
| Mailing Fax Number | 7657410335 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34006487A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821256223 | Clyde D Johnson Jr. | Physician Assistant | 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 | 2008-06-02 |
| 1447749056 | Clyde Johnson IIi | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-09 |
| 1063766723 | Clyde Francis Johnson | Chiropractor | 7940 S University Blvd, Ste 100, Centennial, CO 80122-5104 | 2012-11-02 |
| 1962579375 | Clyde W Johnson | Physical Therapist | 1200 112th Ave Ne Ste C260, Bellevue, WA 98004 | 2006-11-29 |
| 1124007851 | Clyde L. Johnson Jr. | Surgery | 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 | 2006-01-11 |
| Street Address |
930 N 14TH ST |
| City | NEW CASTLE |
| State | IN |
| Zip Code | 47362-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497868533 | Betty Jane Hancock | Counselor | 930 N 14th St, New Castle, IN 47362-4311 | 2006-08-15 |
| 1538709977 | Michael Shane Davis | Social Worker | 930 N 14th St, New Castle, IN 47362-4311 | 2020-01-14 |
| 1366927840 | Katie Daniels | Behavior Technician | 930 N 14th St, New Castle, IN 47362-4311 | 2018-10-01 |
| 1205380383 | Mia Morton | Counselor | 930 N 14th St, New Castle, IN 47362-4311 | 2016-08-07 |
| 1780051136 | Meridian Health Services Corp | Family Medicine | 930 N 14th St, New Castle, IN 47362-4311 | 2015-09-01 |
| 1548653041 | Julia Irish | Counselor | 930 N 14th St, New Castle, IN 47362-4311 | 2015-03-09 |
| 1750789574 | Amber Stinson | Counselor | 930 N 14th St, New Castle, IN 47362-4311 | 2014-12-10 |
| 1356750970 | Matthew Davis | Counselor | 930 N 14th St, New Castle, IN 47362-4311 | 2014-08-07 |
| 1598189573 | Noreen Donnelly | Social Worker | 930 N 14th St, New Castle, IN 47362-4311 | 2014-02-11 |
| 1134473259 | Shanna L Ammerman | Counselor | 930 N 14th St, New Castle, IN 47362-4311 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851898183 | Anthony S Catron | Registered Nurse | 1229 Saint James Dr, New Castle, IN 47362 | 2018-04-12 |
| 1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
| 1457600876 | Linda I Sweigart | Registered Nurse | 4235 S Main St, New Castle, IN 47362 | 2012-08-30 |
| 1063797355 | Occazio, Inc | Counselor | 339 South Highway 3, New Castle, IN 47362 | 2011-10-18 |
| 1790099166 | Bethany Cares Inc. | Home Health | 2020 S. Memorial Dr., Suite I, New Castle, IN 47362 | 2010-07-28 |
| 1164733945 | Jamie Sue Cate | Hearing Instrument Specialist | 1722 S. Memorial Dr., Suite C, New Castle, IN 47362 | 2010-06-28 |
| 1649400987 | Amy Wright | Dietitian, Registered | 615 State Road 38 W, New Castle, IN 47362 | 2009-07-21 |
| 1447449285 | Amber J Harless | Marriage & Family Therapist | 3337 S State Road 3, New Castle, IN 47362 | 2007-10-17 |
| 1710172309 | Assisted Living Concepts Inc | Assisted Living Facility | 2244 Q Avenue, New Castle, IN 47362 | 2007-09-07 |
| 1760688451 | Lorenzo Eli | Legal Medicine | 1000 Van Nuys Road, New Castle, IN 47362 | 2007-06-21 |
| Find all providers in zip 47362 | ||||
| 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 |
|---|---|---|---|---|
| 1922632355 | Tia Danielle Jones Medine | Social Worker | 12 Wedgefield Ct, New Castle, DE 19720-3754 | 2020-02-25 |
| 1437796984 | Dora Temple Irwin | Social Worker | 7 Janvier Ave, New Castle, DE 19720-3627 | 2019-12-03 |
| 1679116420 | Carmela Longobardi | Social Worker | 184 E 4th St, New Castle, DE 19720-4539 | 2019-10-24 |
| 1043796337 | Lavante' N Dorsey & Associates | Social Worker | 25 Winburne Dr, New Castle, DE 19720-3721 | 2018-07-19 |
| 1467946681 | Christine Goodstein | Social Worker | 2208 Stonebridge Blvd, New Castle, DE 19720-6732 | 2018-06-20 |
| 1881114726 | Lakenya Baker | Social Worker | 2600 Spruance Dr, New Castle, DE 19720-1615 | 2017-06-21 |
| 1497125256 | Julissa Coriano | Social Worker | 406 Delaware Street, New Castle, DE 19720 | 2015-10-05 |
| 1962806216 | Kimberly Parker | Social Worker | 13 Creek Dr, New Castle, DE 19720-8723 | 2014-10-15 |
| 1255760963 | Gina Mackin | Social Worker | 101 Savannah Gardner Rd, New Castle, PA 16101-5544 | 2013-11-03 |
| 1629338850 | Jennifer A Sellitto-penoza | Social Worker | 15 Angola Rd, New Castle, DE 19720-3518 | 2012-05-22 |
| Find all providers in NEW CASTLE | ||||
| City | NEW CASTLE |
| Zip Code | 47362 |
Please comment or provide details below to improve the information on MR. CLYDE JOHNSON.
| 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.