MR. MARK A JOHNSON SR.


Address: 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059
Phone: 4085749100

MR. MARK A JOHNSON SR. (NPI# 1811238587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811238587
Entity Type Individual
Full Name MR. MARK A JOHNSON SR.
Credential LMSW, LCDC
Practice Address 5855 Silver Creek Valley Rd
San Jose
CA 95138-1059
Mailing Address Po Box 58
Mansfield
TX 76063-0058
Practice Telephone 4085749100
Mailing Telephone 5013912105
Enumeration Date 2013-03-06
Last Update Date 2020-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
14357 TX Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
089.0134242 VT Behavioral Health & Social Service Providers

Other Providers MARK JOHNSON

NPI Name Taxonomy Address Enumeration
1427528546 Mark Johnson Urology 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 2018-12-01
1437692787 Mark Johnson Pharmacist 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 2016-11-18
1902277734 Mark Johnson Sr. Counselor 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 2015-10-20
1295175966 Mark Johnson Pharmacist 418 Opal Ln, Hibbing, MN 55746-3844 2013-06-26
1275971988 Mark A Johnson Dentist 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 2013-06-05
1598009938 Mark R Johnson Pharmacist 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 2012-11-26
1164778619 Mark Anthony Johnson Pharmacist 3449 Rezanof Drive, Kodiak, AK 99615 2012-08-01
1881953578 Mark Joseph Johnson Anesthesiology 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 2012-05-15
1811261662 Mark Johnson Physical Therapist 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 2012-02-25
1639470636 Mark Johnson Counselor 4314 W Lovers Ln, Dallas, TX 75209-2804 2010-11-06

Office Location

Street Address 5855 SILVER CREEK VALLEY RD
City SAN JOSE
State CA
Zip Code 95138-1059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487602025 Palo Alto Vamc Department of Veterans Affairs (VA) Pharmacy 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2006-05-05
1245843358 Julius Ervin Agustin Javier Social Worker 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2020-08-28
1558974170 Marizela Maciel Social Worker 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2020-08-24
1225654288 David Depadua Delos Reyes Social Worker 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2020-06-24
1205459013 Chanel Yates Social Worker 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2020-05-27
1699336917 Julia R. Gimeno Social Worker 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2019-06-26
1467994418 Jose Alberto Fait Social Worker 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2016-11-08
1083073100 Elizabeth O'grady Social Worker 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2016-02-17
1407239148 Vijay Devireddy Internal Medicine 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2015-06-30
1174954242 Dan Pham Pharmacist 5855 Silver Creek Valley Rd, San Jose, CA 95138 2013-11-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023623865 Nguyen and Tran Dental Corporation Dentist 6130 Hellyer Avenue, San Jose, CA 95138 2020-09-09
1821564485 Indian Health Center of Santa Clara Valley Clinic/Center 9501 Malech Rd, San Jose, CA 95138 2018-10-22
1548690324 Megan Chang Occupational Therapist 5900, Pistoia Way, San Jose, CA 95138 2013-11-15
1720428410 Cristina Duenas Social Worker 5855 Silver Creek Valley Pl, San Jose, CA 95138 2013-06-27
1174967079 Guardian Sleep Clinic, LLC Clinical Medical Laboratory 315 Piercy Rd, San Jose, CA 95138 2013-04-22
1871847889 Rebecca Kerry Van Sickle Counselor 9500 Malech Rd, San Jose, CA 95138 2012-10-30
1366720906 Ariosa Diagnostics, Inc. Clinical Medical Laboratory 5945 Optical Court, San Jose, CA 95138 2011-08-01
1043406713 Umaru Fofana Counselor 455 Silicon Valley Blvd, San Jose, CA 95138 2007-09-17
1316140569 Dickman & Bourla Chiropractic Inc Chiropractor 2311 Silver Breeze Ct, San Jose, CA 95138 2007-06-06
1508983032 Traci Pickett Counselor 9500 Malech Road, San Jose, CA 95138 2007-03-22
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023633708 Efrat Shemesh Katan Social Worker 1025 Wunderlich Dr, San Jose, CA 95129-3159 2020-06-09
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1083236905 Carey Gil Social Worker 1885 The Alameda Ste 120, San Jose, CA 95126-1732 2020-05-13
1912555996 Marie Danh Social Worker 701 Miller St, San Jose, CA 95110-2121 2019-09-03
1194203497 Janet Caudillo Social Worker 373 W Julian St, San Jose, CA 95110-2319 2018-07-30
1699267971 Wendy Shapiro Social Worker 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 2018-06-03
1871099523 Elisse Reyna Social Worker 2670 S White Rd Ste 170, San Jose, CA 95148-2071 2018-04-02
1487166062 Giorgio Andrea Quittan I Social Worker 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 2017-11-03
1942712211 Zenon Post Social Worker 31 N 2nd St # 265, San Jose, CA 95113-1231 2017-10-26
1578010526 Gayle Peitso Social Worker 15780 Highland Dr, San Jose, CA 95127-1741 2016-09-07
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Competitor

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City SAN JOSE
Zip Code 95138

Improve Information

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Dataset Information

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.

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