Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548862295 Individual Practitioner Female Practitioner

Katie Johnson

Social Worker • Corrales, NM

Professional Overview & Biography Verified Profile Summary

Katie Johnson is a registered healthcare professional specializing in Social Worker in Corrales, NM. Practice services are available at 973 CAMINO HERMOSA under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

973 Camino Hermosa

Corrales, NM 870488436

Telephone 5058037459
Associated Practice Facility / Clinic
🏢 Horses For Healing, Inc. Facility NPI 1376949404

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Corrales, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Corrales, NM (1750 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: 2022-10-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NM M-11432

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30281555 (NM)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Bethany Castillo , LMHC, NCC

Counselor - Mental Health

NPI 1356804991

Licensed Mental Health Counselor, National Certified Counselor

Claire Ann Barr , LPCC

Counselor - Mental Health

NPI 1689867293

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 20, 2022

Registered at 973 CAMINO HERMOSA, CORRALES, NM 870488436 (Tel: 5058037459)

📍
Updated Business Mailing Address October 20, 2022

Registered at 612 COPPER AVE NE APT A, ALBUQUERQUE, NM 871023613 (Tel: 6512338965)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2022

Social Worker (License #M-11432 in NM)

📍
Updated Practice Location July 21, 2022

Registered at 1316 JACKIE RD SE STE 900, RIO RANCHO, NM 871246612 (Tel: 5052891042)

NPI Profile Active November 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2020

Registered at 303 W WILDY ST, ROSWELL, NM 882035564 (Tel: 6512338965)

📍
Updated Business Mailing Address November 09, 2020

Registered at 303 W WILDY ST, ROSWELL, NM 882035564

👤
Provider Name / Credentials Updated November 09, 2020

Recorded as KATIE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 09, 2020

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: 1548862295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2020
Last Update: October 20, 2022
Sole Proprietor: No

Mailing Address

612 Copper Ave Ne Apt A

Albuquerque, NM 871023613

Phone: 6512338965

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.