MR. DAVID ALLEN JOHNSON (NPI# 1811223407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811223407 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALLEN JOHNSON |
| Credential | MSW, LSW, LCAC |
| Practice Address |
3176 Lancer St Portage IN 46368-4408 |
| Practice Telephone | 2197638847 |
| Practice Fax Number | 2197627318 |
| Mailing Telephone | 2197638847 |
| Mailing Fax Number | 2197627318 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87000461A | IN | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 33007055A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
3176 LANCER ST |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205968385 | Lisette Haro | Social Worker | 3176 Lancer St, Portage, IN 46368-4408 | 2007-03-12 |
| 1306118468 | Mario Lara | Counselor | 3176 Lancer St, Portage, IN 46368-4408 | 2012-02-06 |
| 1023380276 | Michael Imburgia | Counselor | 3176 Lancer St, Portage, IN 46368-4408 | 2012-02-03 |
| 1194009035 | Elise D Daxe | Social Worker | 3176 Lancer St, Portage, IN 46368-4408 | 2011-10-10 |
| 1104109222 | Karen C. Schimpf | Counselor | 3176 Lancer St, Portage, IN 46368-4408 | 2011-09-25 |
| 1225228828 | Sally Ann Primus | Social Worker | 3176 Lancer St, Suite 501, Portage, IN 46368 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| 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 |
|---|---|---|---|---|
| 1982215703 | Rudolph Ruffer | Social Worker | 524 E Milham Ave Ste B, Portage, MI 49002-1473 | 2020-08-14 |
| 1366912214 | Elaine Marie Catlin | Social Worker | 7555 Timbercreek Ct Apt 4, Portage, MI 49024-7024 | 2018-12-03 |
| 1942753199 | Cynthia Vanderweele | Social Worker | 6130 Lovers Ln, Portage, MI 49002-3026 | 2016-07-24 |
| 1013380914 | Jennifer Diamond | Social Worker | 1148 Saddle Rdg, Portage, WI 53901-9799 | 2015-11-02 |
| 1366837858 | Kathy Lard | Social Worker | 640 Romence Rd Ste 211a, Portage, MI 49024-3400 | 2015-04-01 |
| 1548513609 | Jason Leo Helsel | Social Worker | 827 Farren St, Portage, PA 15946-1803 | 2012-10-25 |
| 1366793390 | Karin Addie Cummins | Social Worker | 8765 Wild Rose Ln, Portage, UT 84331-8924 | 2012-10-01 |
| 1639328339 | Chaya Devin Henkel | Social Worker | 1611 W Centre Ave, Ste 212, Portage, MI 49024 | 2008-09-17 |
| 1316111461 | Bobbi Sue Casey | Social Worker | 6204 Lovers Lane, Portage, MI 49002 | 2008-04-19 |
| 1477721991 | Loevetta Crowell | Social Worker | 3253 Whittier St, Portage, IN 46368-4813 | 2008-02-19 |
| Find all providers in PORTAGE | ||||
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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.