Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679202758 Individual Practitioner Female Practitioner

Mary Elizabeth Johnson , LCSW

Social Worker • Ammon, ID

Professional Overview & Biography Verified Profile Summary

Mary Johnson, LCSW is a registered healthcare professional specializing in Social Worker in Ammon, ID. Practice services are available at 1329 AMMON PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1329 Ammon Park Dr

Ammon, ID 834064591

Telephone 2084030135
Associated Practice Facility / Clinic
🏢 Cureton Counseling, Llc Facility NPI 1366152142

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ammon, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
81 Specialists

Practicing in Ammon, ID (1625 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: 2025-01-21
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License ID 8911068

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License TX 65860

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.

Secondary Practice Locations

18756 Stone Oak Pkwy, Suite 200, Office #231

San Antonio, TX 78258

Phone: 8305135775

Practice Associates & Co-Workers

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

5 Associated Practitioners
Rex Pulley , LMSW

Social Worker

NPI 1013866532

Licensed Master Social Worker

Amy Gee

Counselor - Professional

NPI 1093609794
NPI 1184065245

Licensed Master Social Worker

Lauren Jensen , MSW

Counselor - Mental Health

NPI 1225896814

Master of Social Work

Hailey Anderson , LPC

Counselor - Mental Health

NPI 1891655692

Licensed Professional Counselor

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 04, 2024

Registered at 1329 AMMON PARK DR, AMMON, ID 834064591 (Tel: 2084030135)

📍
Updated Business Mailing Address November 04, 2024

Registered at 30131 BULVERDE LN UNIT 371, BULVERDE, TX 781638821 (Tel: 6023007302)

👤
Provider Name / Credentials Updated November 04, 2024

Recorded as MARY JOHNSON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2024

Social Worker (License #65860 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2022

Social Worker (License #LMSW-42400 in ID)

NPI Profile Active June 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2022

Registered at 545 N BENJAMIN LN STE 185, BOISE, ID 837049625 (Tel: 2083221026)

📍
Updated Business Mailing Address June 06, 2022

Registered at 3925 CRESCENT DR, BAY CITY, TX 774144619 (Tel: 6023007302)

👤
Provider Name / Credentials Updated June 06, 2022

Recorded as MARY JOHNSON, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Social Worker (License #LMSW-16316 in AZ)

🟢
Initial NPI Registration & Enumeration June 06, 2022

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: 1679202758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2022
Last Update: January 21, 2025
Sole Proprietor: No

Mailing Address

30131 Bulverde Ln Unit 371

Bulverde, TX 781638821

Phone: 6023007302

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.