BEVERLY JOHNSON (NPI# 1265058028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265058028 |
| Entity Type | Individual |
| Full Name | BEVERLY JOHNSON |
| Credential | LCSW |
| Practice Address |
2580 Victor Ave Ste C Redding CA 96002-1455 |
| Mailing Address |
8391 Auburn Blvd Citrus Heights CA 95610-0364 |
| Practice Telephone | 9168036247 |
| Mailing Telephone | 9168036247 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS20150 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137873 | Beverly C Johnson | Hospice Care, Community Based | 116 S Edward Avenue, Mound Bayou, MS 38762 | 2013-07-19 |
| 1043578164 | Beverly Ann Johnson | Adult Companion | 5304 Yaroley Ter., Durham, NC 27707 | 2012-04-26 |
| 1336410281 | Beverly S Johnson | Physical Therapy Assistant | 2443 Watkins Grove Pt, Greensboro, NC 27406-9034 | 2012-01-24 |
| 1295973691 | Beverly Berganos Johnson | Physician Assistant | 8160 Walnut Hill Ln Ste 200, Dallas, TX 75231-4340 | 2009-01-23 |
| 1942337795 | Beverly J Johnson | Licensed Practical Nurse | 109 Center St, Caledonia, OH 43314-9493 | 2007-02-28 |
| 1053482216 | Beverly Johnson | Speech-Language Pathologist | 710 Carpenter Fletcher Rd, Durham, NC 27713-1940 | 2006-11-10 |
| 1295836492 | Beverly Jean Johnson | Psychologist | 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 | 2006-09-26 |
| 1669489639 | Beverly C Johnson | Family Medicine | 10220 Dixie Beeline Hwy, Guthrie, KY 42234 | 2006-08-02 |
| 1295717627 | Beverly Ann Johnson | Nurse Practitioner | 4400 Goss Rd, Redstone Arsenal, AL 35809 | 2005-11-20 |
| 1003344938 | Beverly R Johnson | Counselor | 2404 Ferrand St Ste 23, Monroe, LA 71201 | 2017-05-23 |
| Street Address |
2580 VICTOR AVE STE C |
| City | REDDING |
| State | CA |
| Zip Code | 96002-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124576087 | Leslie Mitcham | Counselor | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2016-09-20 |
| 1215540729 | Crystal Johnson | Counselor | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-08-25 |
| 1902423957 | Phylliss M. Nettesheim | Social Worker | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-25 |
| 1508481805 | Wayfinder Family Services | Community/Behavioral Health | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| 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 |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1154849479 | Leslie Rubury | Social Worker | 90 Peaceable St, Redding, CT 06896-3107 | 2017-09-07 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1821455577 | Joshua Roberts | Social Worker | 478 Bedrock Ln, Redding, CA 96003-3345 | 2016-01-26 |
| 1750758884 | Justina Marion Hale | Social Worker | 2338 Dartmouth Dr, Redding, CA 96001-5818 | 2015-08-24 |
| 1548665862 | Michelle Kamla | Social Worker | 2400 Washington Ave Ste 401, Redding, CA 96001-2827 | 2014-10-29 |
| 1932512738 | Anne Shields | Social Worker | 2 Rob Rider Rd, Redding, CT 06896-1303 | 2014-06-09 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1912297664 | George Bronson Scripture IIi | Social Worker | 448 Redcliff Dr Ste 120, Redding, CA 96002-0159 | 2011-04-14 |
| Find all providers in REDDING | ||||
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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.