SUSANNE JUDITH JOHNSON (NPI# 1518137546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518137546 |
| Entity Type | Individual |
| Full Name | SUSANNE JUDITH JOHNSON |
| Other Name | SUSANNE JUDITH SCHWIDER |
| Credential | LCSW |
| Practice Address |
777 N Raymond St Boise ID 83704-9251 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2085142500 |
| Practice Fax Number | 2083752217 |
| Mailing Telephone | 2084674431 |
| Mailing Fax Number | 2084665359 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-27912 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807782300 | 05 | |
| ID | 1518137546 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1144237488 | Susanne Johnson | Psychologist | 728 Ogden Ave, Ste E, Downers Grove, IL 60515-2901 | 2006-08-01 |
| 1023365384 | Susanne K Johnson | Specialist/Technologist | 1756 Bee Creek Rd, Special Services -- Claim Care, Branson, MO 65616-9395 | 2012-08-06 |
| 1205069770 | Susanne P Johnson | Nurse Practitioner | 22 Bozard St, Manning, SC 29102-2935 | 2009-08-31 |
| 1457479578 | Susanne Catherine Johnson | Counselor | 11 Sundial Circle, Suite #4, Carefree, AZ 85377 | 2007-03-27 |
| 1790864379 | Susanne Jane Johnson | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2006-11-03 |
| 1376503623 | Susanne T Johnson | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2006-03-23 |
| 1629052873 | Susanne S Johnson | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2005-12-01 |
| Street Address |
777 N RAYMOND ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566253 | Jeffrey Karl Edwards | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2005-05-24 |
| 1619599347 | Kim Mcgrath | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1437771169 | Kevin Mcnamee | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1003438730 | Tracy Adams | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1093337727 | Angela Bangs | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1902428634 | Amanda Aman | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1275155905 | Paige Ely | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1457973182 | Zara Bowden | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1992327621 | Kelsey Harding | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1366064099 | Jeffrey Chase | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1679171961 | Jill Michelle Chonody | Social Worker | 3134 S Waterbury Ln, Boise, ID 83706-5222 | 2020-10-09 |
| 1750999777 | Deanna Armenia Brent | Social Worker | 7450 W Althea Ct, Boise, ID 83709-1777 | 2020-07-15 |
| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1528690773 | Marc Adrian Dominguez | Social Worker | 1299 N Orchard St Ste 110, Boise, ID 83706-2266 | 2020-02-06 |
| 1235774407 | Wildflower Intuitive Center, LLC | Social Worker | 4696 W Overland Rd Ste 276, Boise, ID 83705-2877 | 2019-11-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1821550203 | Alturas Counseling | Social Worker | 204 S Cole Rd, Boise, ID 83709-0934 | 2019-04-03 |
| 1750859856 | Jani Lynn Belcoe | Social Worker | 3029 N 32nd St, Boise, ID 83703-5001 | 2018-11-06 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on SUSANNE JUDITH JOHNSON.
| 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.