Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750718540 Individual Practitioner Female Practitioner

Emily Nicole-Sparks Johnson , MSW, LCSW

Social Worker • Travis Afb, CA

Professional Overview & Biography Verified Profile Summary

Emily Johnson, MSW, LCSW is a registered healthcare professional specializing in Social Worker in Travis Afb, CA. Practice services are available at 103 BODIN CIR BLDG 778 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 Bodin Cir Bldg 778

Travis Afb, CA 945351801

Telephone 7074371934

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Travis Afb, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-21
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA 81731

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. David Jiang , MD

Psychiatry & Neurology - Psychiatry

NPI 1467984435

Doctor of Medicine (M.D.)

Dr. Nuntaya Jiras , MD

Internal Medicine

NPI 1629138334

Doctor of Medicine (M.D.)

Dr. Conor Grady , MD

Neurological Surgery

NPI 1730590563

Doctor of Medicine (M.D.)

Aaron Guevara

Dietitian, Registered

NPI 1750242194
Dr. Michael Benko , DO

Neurological Surgery

NPI 1801274006

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location December 21, 2023

Registered at 103 BODIN CIR BLDG 778, TRAVIS AFB, CA 945351801 (Tel: 7074371934)

📍
Updated Business Mailing Address December 21, 2023

Registered at 103 BODIN CIR BLDG 778, TRAVIS AFB, CA 945351801

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2023

Social Worker (License #81731 in CA)

📍
Updated Practice Location November 28, 2022

Registered at 355 TUOLUMNE ST # MS 20-210, VALLEJO, CA 945905700 (Tel: 7075535525)

📍
Updated Business Mailing Address November 28, 2022

Registered at 355 TUOLUMNE ST # MS 20-210, VALLEJO, CA 945905700 (Tel: 7075535525)

📍
Updated Practice Location January 26, 2021

Registered at 2101 COURAGE DR # MS 10-100, FAIRFIELD, CA 945336717 (Tel: 7077842088)

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as EMILY JOHNSON, MSW, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Social Worker (License #LCSW81731 in CA)

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 2101 COURAGE DR # MS 10-300, FAIRFIELD, CA 945336717 (Tel: 7077842088)

📍
Updated Business Mailing Address May 11, 2017

Registered at 2101 COURAGE DR # MS 10-300, FAIRFIELD, CA 945336717 (Tel: 7077842088)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as EMILY SPARKS, MSW, ASW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Counselor (License #ASW 62572 in CA)

NPI Profile Active March 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2015

Registered at 470 CHADBOURNE RD STE E, FAIRFIELD, CA 945349620 (Tel: 7074259670)

📍
Updated Business Mailing Address March 30, 2015

Registered at 470 CHADBOURNE RD STE E, FAIRFIELD, CA 945349620 (Tel: 7074259670)

👤
Provider Name / Credentials Updated March 30, 2015

Recorded as EMILY SPARKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2015

Counselor (License #ASW 62572 in CA)

🟢
Initial NPI Registration & Enumeration October 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750718540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2013
Last Update: December 21, 2023
Sole Proprietor: No

Mailing Address

103 Bodin Cir Bldg 778

Travis Afb, CA 945351801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.