MARY KAY JOHNSON (NPI# 1598848921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598848921 |
| Entity Type | Individual |
| Full Name | MARY KAY JOHNSON |
| Other Name | MARY KAY FISCHER |
| Credential | LCSW CSW PIP QMNP |
| Practice Address |
1424 9th Ave Se Suite 7 Watertown SD 57201-5383 |
| Practice Telephone | 6058822740 |
| Practice Fax Number | 6058824323 |
| Mailing Telephone | 6058822740 |
| Mailing Fax Number | 6058824323 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | LCSW 1557 | SD | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | CSW PIP 1991 | SD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6571100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
1424 9TH AVE SE SUITE 7 |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791367 | Kristina Susan Kay Thibeault | Counselor | 1424 9th Ave Se, Watertown, SD 57201-5383 | 2019-07-10 |
| 1689958209 | Amanda Renee Carter-boomsma | Counselor | 1424 9th Ave Se, Suite 7, Watertown, SD 57201-5383 | 2011-09-30 |
| 1861620015 | Janet Lamb Even | Counselor | 1424 9th Ave Se, Suite 7, Watertown, SD 57201-5383 | 2009-06-26 |
| 1689858326 | Jared James Geier | Counselor | 1424 9th Ave Se, Suite 7, Watertown, SD 57201 | 2007-12-18 |
| 1467590869 | Stacy Marie Solsaa | Counselor | 1424 9th Ave Se, Suite 7, Watertown, SD 57201 | 2007-02-01 |
| 1326121757 | Kimberly Jean Lightfield | Counselor | 1424 9th Ave Se, Suite 7, Watertown, SD 57201-5383 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| 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 |
|---|---|---|---|---|
| 1801420989 | Johnna Renee Pupillo | Social Worker | 1220 Coffeen St Bldg 17, Watertown, NY 13601-1897 | 2020-02-27 |
| 1356820914 | Laura Andrews | Social Worker | 218 Palfrey St, Watertown, MA 02472-1836 | 2018-08-14 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1366836264 | Jillian M Viessman | Social Worker | 1424 9th Ave Se Ste 7, Watertown, SD 57201-5361 | 2015-03-28 |
| 1891046462 | Joseph I Lubashevsky | Social Worker | 167 Polk St Ste 300, Watertown, NY 13601-2770 | 2012-09-24 |
| 1114216124 | Cynthia Lee Knoell | Social Worker | 900 Deerfield Rd, Watertown, MN 55388-9271 | 2011-03-30 |
| 1154652212 | Jenna K. Daniels | Social Worker | 507 Margaret St, Watertown, WI 53098-2541 | 2010-01-28 |
| 1235464058 | Joanna G. Dailey | Social Worker | 20104 St. Rt. 3, Watertown, NY 13601 | 2009-10-13 |
| 1639331986 | Kaitlin Smith | Social Worker | 63 Carey Ave, Apt 5, Watertown, MA 02472-3071 | 2008-06-27 |
| Find all providers in WATERTOWN | ||||
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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.