Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700478831 Deactivated / Inactive NPI Male Practitioner

Roderick Glenn Johnson

Social Worker • Aberdeen, WA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Roderick Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 10, 2021
NPI Deactivation Date October 13, 2023
Total Practice Duration ~2 Years of Practice (2021 – 2023)

Professional Overview & Biography Verified Profile Summary

Roderick Johnson was a registered Social Worker practicing in Aberdeen, WA. Throughout an active medical career spanning 2 years, Roderick Johnson provided care at the practice location at S H ST until profile deactivation on 2023-10-13.

Practice Location & Contact Primary Location

Practice Address

S H St

Aberdeen, WA 98520

Telephone 3605802540

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Aberdeen, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Aberdeen, WA (2183 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

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.

Career & Practice History Timeline

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

10 Historical Events
⚠️
NPI Profile Deactivated October 13, 2023

Record deactivated on October 13, 2023

📍
Updated Practice Location October 07, 2021

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

📍
Updated Business Mailing Address October 07, 2021

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Case Manager/Care Coordinator

NPI Profile Active February 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2021

Registered at S H ST, ABERDEEN, WA 98520 (Tel: 3605802540)

📍
Updated Business Mailing Address February 10, 2021

Registered at 20120 T ST, OCEAN PARK, WA 986403030 (Tel: 9712674576)

👤
Provider Name / Credentials Updated February 10, 2021

Recorded as RODERICK JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2021

Social Worker

🟢
Initial NPI Registration & Enumeration February 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Roderick Johnson. Be the first to share your experience!

Sign in to leave a review for Roderick Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700478831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2021
Last Update: February 10, 2021
Deactivation Date: October 13, 2023

Mailing Address

20120 T St

Ocean Park, WA 986403030

Phone: 9712674576

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.