Elise T Johnson, L.C.S.W.
Social Worker, Clinical in Gardena, CA. Individual provider (NPI-1).
NPI number1124455886
StatusActive
Last updated in NPPESSep 26, 2013
Details
- NPI
- 1124455886
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elise T Johnson
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2013
- Last updated
- Sep 26, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 23943 | CA | Yes |
Practice location
130 W Victoria StGardena, CA 90248-3523
Phone 310-715-2020
Mailing address
130 W Victoria StGardena, CA 90248-3523
Phone 310-715-2020
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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