CANDIEDA LEE-DENISE JOHNSON
NPI 1316720113
Case Manager/Care Coordinator in Clearlake, CA

Q: What is Candieda Johnson's NPI number?

The NPI number for Candieda Johnson is 1316720113. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Q: What is Candieda Johnson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Candieda Johnson was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 15, 2023

6945 OLD HIGHWAY 53, CLEARLAKE, CA 95422(707) 995-9523 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Candieda Lee-denise Johnson NPPES

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

CANDIEDA LEE-DENISE JOHNSON (NPI 1316720113) is an individual case manager/care coordinator provider in Clearlake, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1316720113

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameCANDIEDA LEE-DENISE JOHNSON

Location Address6945 OLD HIGHWAY 53Clearlake, CA 95422-9381

Mailing Address6945 Old Highway 53Clearlake, CA 95422-9381 · (707) 995-9523

Phone(707) 995-9523

Sole ProprietorNo

Enumeration DateAugust 15, 2023

NPPES CertifiedAugust 15, 2023

✔ NPI 1316720113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

6945 OLD HIGHWAY 53, Clearlake, CA 95422

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Other Providers at the Same Location NPPES 14

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

SHERRY BAUMAN

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