MRS. CONNIE FAYE JOHNSON (NPI# 1760764328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760764328 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE FAYE JOHNSON |
| Credential | MSW, LMSW |
| Practice Address |
1585 3rd Street Bayne -jones Army Community Hospital Fort Polk LA 71459 |
| Practice Telephone | 3375313011 |
| Mailing Telephone | 3375313011 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9245 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043674286 | Connie Johnson | Social Worker | 7380 Cedar Creek Loop, Columbus, GA 31904-2377 | 2016-04-13 |
| 1295137735 | Connie Johnson | Occupational Therapy Assistant | 5373 Thompsons Mill Rd., Braselton, GA 30517 | 2014-09-16 |
| 1205029758 | Connie Collins Johnson | Physical Therapist | 14516 S Hills Ct, Centreville, VA 20120-1353 | 2007-08-18 |
| 1851513261 | Connie M Johnson | Physical Therapist | 7540 North 19th Ave, Phoenix, AZ 85021-7967 | 2007-05-03 |
| 1356958722 | Connie Diane Johnson | Homemaker | 1205 Broad St, Summersville, WV 26651-1805 | 2020-09-29 |
| 1972087518 | Connie Johnson | Family Medicine | 201 Ridge St Ste 201, Council Bluffs, IA 51503-4662 | 2018-09-19 |
| 1588056261 | Connie Johnson | Registered Nurse | 862 Riverside Dr, Hillsborough, NJ 08844-3324 | 2015-03-04 |
| 1881097590 | Connie Johnson | Counselor | 607 Main St, Ridgefield, CT 06877 | 2014-10-08 |
| 1669883781 | Connie Jo Johnson | Registered Nurse | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-05-12 |
| 1629240494 | Connie Johnson | Physical Therapy Assistant | 3724 National Dr, Suite 110, Raleigh, NC 27612-4070 | 2008-04-01 |
| Street Address |
1585 3RD STREET BAYNE -JONES ARMY COMMUNITY HOSPITAL |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853019 | Marilyn Macalos | Optometrist | 1585 3rd Street, Attn: Eent, Optometry, Fort Polk, LA 71459-5110 | 2005-12-28 |
| 1043573926 | Cesar Jose Rosa | Internal Medicine | 1585 3rd Street, Fort Polk, LA 71459 | 2012-06-16 |
| 1972561009 | Valentino Isaac Parris | Registered Nurse | 1585 3rd Street, Bayne-jones Hospital, Fort Polk, LA 71459-5110 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1922524529 | Keith Allan Smiley | Dentist | 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 | 2017-08-16 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| Find all providers in zip 71459 | ||||
| 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 |
|---|---|---|---|---|
| 1710597638 | Terri Buchinski | Social Worker | 374 Fairway Ct, Fort Polk, LA 71459-3121 | 2020-08-05 |
| 1740546639 | Tyrette Herrington Bodine | Social Worker | 1591 Bell Richard Ave Bldg 920, Fort Polk, LA 71459-5405 | 2012-04-05 |
| 1992800965 | Elizabeth Cheryl Nolen | Social Worker | 1591 Bell Richard Ave, Building 920, Fort Polk, LA 71459-5405 | 2006-09-14 |
| 1720612252 | Adrian Yvette Todd | Social Worker | 1591 Bell Richard Ave Bldg 920, Fort Polk, LA 71459-5405 | 2020-02-24 |
| 1366006579 | Carmen Arvelo | Social Worker | 1585 3rd St, Fort Polk, LA 71459-5102 | 2019-04-24 |
| 1770092108 | Johnpaul Norman | Social Worker | 1585 3rd St, Fort Polk, LA 71459-5102 | 2017-09-28 |
| 1053727156 | Mark Bradley | Social Worker | 1585 3rd St, Bjach, Fort Polk, LA 71459-5102 | 2014-07-09 |
| 1205255411 | Myra Estella Ann Tirao | Social Worker | 1585 3rd St, Fort Polk, LA 71459-5102 | 2014-04-15 |
| 1447596457 | Michael Anthony Breaux | Social Worker | 1585 3rd St, Office 6065, Fort Polk, LA 71459-5102 | 2012-12-19 |
| 1366725152 | Patricia A. Gates | Social Worker | 1585 3rd St, Fort Polk, LA 71459-5102 | 2011-09-28 |
| Find all providers in FORT POLK | ||||
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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.