MARY K JOHNSON
NPI 1053471086
Social Worker in Omaha, NE

Q: What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1053471086. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Mary Johnson enrolled in Medicare?

No. Mary Johnson has opted out of Medicare through September 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2006Opted out of Medicare · through Sep 11, 2026

820 SOUTH 75TH STREET, OMAHA, NE 68114(402) 391-2477(402) 397-4268 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mary K Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY K JOHNSON (NPI 1053471086) is an individual social worker in Omaha, Nebraska, licensed in Nebraska (2616) and active in the NPI registry since December 2006. She has opted out of Medicare through September 11, 2026.

NPPES Registry Identity

NPI1053471086

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMARY K JOHNSON

Location Address820 SOUTH 75TH STREETOmaha, NE 68114-4623

Mailing Address820 South 75th StreetOmaha, NE 68114-4623 · (402) 391-2477 · Fax (402) 397-4268

Phone(402) 391-2477

Fax(402) 397-4268

Sole ProprietorNo

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053471086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NE · 2616

Definition

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.

820 SOUTH 75TH STREET, Omaha, NE 68114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary K Johnson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2024 through September 11, 2026.

Opt-Out Effective DateSeptember 11, 2024

Opt-Out In Effect ThroughSeptember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY A WINGERT

Social Worker