KIMBERLY A JOHNSON (NPI# 1033413604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033413604 |
Entity Type | Individual |
Full Name | KIMBERLY A JOHNSON |
Credential | LCSW |
Practice Address |
1760 W 16th St San Bernardino CA 92411-1160 |
Mailing Address |
Po Box 1406 Guasti CA 91743-1406 |
Practice Telephone | 9094731200 |
Enumeration Date | 2010-12-22 |
Last Update Date | 2010-12-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
26908 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
Street Address |
1760 W 16TH ST |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92411-1160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497748081 | Vibra Hospital of San Bernardino, LLC | Rehabilitation Hospital | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2005-08-29 |
1457971566 | Jamie Lou Mejorada Sabellon | Speech-Language Pathologist | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2020-04-17 |
1306497144 | Megan Cherene | Speech-Language Pathologist | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2019-09-23 |
1467910331 | Austin Liao Lee | Pharmacist | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2019-03-08 |
1780182816 | Socal Rehab Consultants Inc | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2018-01-23 |
1134511249 | Rehabology | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2015-02-26 |
1003040270 | Kar-wai Yung | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2009-05-04 |
1912928565 | Renaissance Radiology Medical Group, Inc | Radiology | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2006-07-21 |
1295798213 | Van Tze Chen | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
Find all providers in zip 92411 |
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 |
---|---|---|---|---|
1255942389 | Ifeanyi C Alozie | Social Worker | 255 N D St Ste 401c, San Bernardino, CA 92401-1715 | 2020-08-12 |
1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
1528616034 | Patricia Esmeralda Moreno | Social Worker | 621 Carnegie Dr Ste 140, San Bernardino, CA 92408-3515 | 2019-08-28 |
1326518168 | Katherine Clair Tristan Lcsw PC | Social Worker | 255 N D St Ste 220, San Bernardino, CA 92401-1713 | 2018-12-04 |
1508368044 | Everett Andy James | Social Worker | 1845 Business Center Drive Suite 208, San Bernardino, CA 92408 | 2018-03-01 |
1588173496 | Christina Dillon | Social Worker | 412 W Hospitality Ln Fl 1, San Bernardino, CA 92415-0913 | 2017-09-22 |
1255754263 | Jules E Beuck | Social Worker | 3288 Little Mountain Dr Apt A, San Bernardino, CA 92405-0912 | 2014-01-27 |
1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
1104170364 | Eric William Ewell | Social Worker | 6724 Coleen Ln, San Bernardino, CA 92407-1916 | 2012-11-08 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92411 |
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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.