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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RUDY JOHANSEN LCSW
NPI 1255382610
Social Worker - Clinical in Salt Lake City, UT

Active since May 12, 2006
500 FOOTHILL DR, 116HO, SALT LAKE CITY, UT 84148(801) 582-1565(801) 584-2507 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rudy Johansen Lcsw NPPES

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

RUDY JOHANSEN LCSW (NPI 1255382610) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (134481-3501) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1255382610
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRUDY JOHANSENCredential: LCSW
Location Address500 FOOTHILL DR, 116HOSalt Lake City, UT 84148-0001
Mailing Address1470 S 235 WOrem, UT 84058-7370 · (801) 225-3532
Phone(801) 582-1565
Fax(801) 584-2507
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1255382610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 134481-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
500 FOOTHILL DR, Salt Lake City, UT 84148
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Other Providers at the Same Location NPPES 20

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

HUNTER BULLOCK MLS(ASCP)
Technician, Pathology (Medical Laboratory)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
NICOLAS HORTENSI
Student in an Organized Health Care Education/Training Program
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MALLORY SPEAKMAN
Registered Nurse
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
FAITH FUENTES FNP-BC
Nurse Practitioner (Family)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 891-8638
MR. MICHAEL THOMAS STEVENSON LCSW
Social Worker (Clinical)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. LAWRENCE DIXON APRN
Nurse Practitioner (Gerontology)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
THOMAS ALAN GOOD LANCE WHITE BULL CPHT
Pharmacy Technician
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
CLAYTON HAMILTON PHARMD
Pharmacist
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (406) 270-7185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudy Johansen's NPI number?

The NPI number for Rudy Johansen is 1255382610. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Rudy Johansen located?

Rudy Johansen practices at 500 Foothill Dr 116ho, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Rudy Johansen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Rudy Johansen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.