CARISSA JOHNSON (NPI# 1588122253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588122253 |
| Entity Type | Individual |
| Full Name | CARISSA JOHNSON |
| Credential | APSW |
| Practice Address |
2108 63rd St Kenosha WI 53143-4454 |
| Practice Telephone | 2626522406 |
| Practice Fax Number | 2626522408 |
| Mailing Telephone | 2626522406 |
| Mailing Fax Number | 2626522408 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 131214-121 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973715 | Carissa D Johnson | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-10-16 |
| 1396301123 | Carissa Michelle Johnson | Behavioral Analyst | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2019-05-16 |
| 1225573371 | Carissa Johnson | Speech-Language Pathologist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2016-12-28 |
| 1053665117 | Carissa Julia Johnson | Counselor | 80 Erdman Way, Suite 208, Leominster, MA 01453-1840 | 2012-10-28 |
| 1952499212 | Carissa Johnson | Speech-Language Pathologist | 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | 2006-10-11 |
| Street Address |
2108 63RD ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609982040 | Brian A Wolf | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2006-08-21 |
| 1033718440 | Mackenzie Dodge | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-19 |
| 1194322065 | Susanne Smith | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-05 |
| 1215540547 | Nicholas Dean Dubios-rose | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-08-26 |
| 1972150654 | Nathaniel Willkomann | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-08-19 |
| 1710548185 | Megan Schilz | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-06-25 |
| 1386117851 | Sarah Magallon | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-08 |
| 1992278964 | Jamie-lee Nietupski | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-02 |
| 1881166189 | Arturo Perez | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-12-27 |
| 1669943874 | Amy Macdonald-wojcik | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1811500358 | Kristen A Palmer | Social Worker | 3536 52nd St, Kenosha, WI 53144-2662 | 2020-08-25 |
| 1245773480 | Rochelle Anderson-moore | Social Worker | 3623 15th St, Apt 2b, Kenosha, WI 53144-4713 | 2016-11-21 |
| 1013264555 | Jessie Michelle Lohr | Social Worker | 4806 27th St, Kenosha, WI 53144-1360 | 2012-08-14 |
| 1033718440 | Mackenzie Dodge | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-19 |
| 1407454572 | Reed Stanek | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1770181844 | Anna Rose Amari | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1356958995 | Antigona Bajraktari | Social Worker | 4109 67th St, Kenosha, WI 53142-3836 | 2020-09-28 |
| 1780166603 | Evoanna Kelley | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-09-06 |
| 1245730019 | Nancy Guadagno Lcsw Csac LLC | Social Worker | 6123 Green Bay Rd Ste 240, Kenosha, WI 53142-2927 | 2018-02-18 |
| Find all providers in KENOSHA | ||||
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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.