Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003242173 Individual Practitioner Female Practitioner

Heather Irene Johnson , MSW

Social Worker • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Heather Johnson, MSW is a registered healthcare professional specializing in Social Worker in Roseburg, OR. Practice services are available at 621 W MADRONE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

621 W Madrone St

Roseburg, OR 974703090

Telephone 5414403532
Fax 5414403554
Associated Practice Facility / Clinic
🏢 Adapt Facility NPI 1720010549

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Roseburg, OR (2149 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: 2021-06-16
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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
500663460 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
William Shobe , LMFT

Marriage & Family Therapist

NPI 1003179417

Licensed Marriage and Family Therapist

William Dukes , BA

Case Manager/Care Coordinator

NPI 1003298332

Bachelor of Arts

Cyndra Krogen Morton

Counselor - Mental Health

NPI 1003754193
Dale Williams , MC, LPC

Counselor - Mental Health

NPI 1013090588

MC, Licensed Professional Counselor

NPI 1013357565

MAED, Bachelor of Science

Jennifer Lowry

Counselor - Mental Health

NPI 1013592245

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 16, 2021

Registered at 621 W MADRONE ST, ROSEBURG, OR 974703090 (Tel: 5414403532)

📍
Updated Business Mailing Address June 16, 2021

Registered at PO BOX 1121, ROSEBURG, OR 974700254 (Tel: 5414403532)

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2017

Registered at 2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471 (Tel: 5414403532)

📍
Updated Business Mailing Address February 06, 2017

Registered at 272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471 (Tel: 5414403532)

👤
Provider Name / Credentials Updated February 06, 2017

Recorded as HEATHER JOHNSON, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Social Worker

NPI Profile Active May 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2015

Registered at 2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471 (Tel: 5414403532)

📍
Updated Business Mailing Address May 26, 2015

Registered at 272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471 (Tel: 5414403532)

👤
Provider Name / Credentials Updated May 26, 2015

Recorded as HEATHER CANNON, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2015

Social Worker

🟢
Initial NPI Registration & Enumeration September 20, 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: 1003242173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2013
Last Update: June 16, 2021
Sole Proprietor: No

Mailing Address

Po Box 1121

Roseburg, OR 974700254

Phone: 5414403532

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.