1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Social Worker
  6. NPI Profile

SHIRLEY LARAINE JOHNSON LCSW
NPI 1417166455
Social Worker - Clinical in Medford, OR

Active since May 22, 2007Opted out of Medicare · through Feb 18, 2028
33 N CENTRAL AVE, SUITE 320, MEDFORD, OR 97501(541) 890-3066(541) 779-3260 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley Laraine Johnson Lcsw NPPES

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

SHIRLEY LARAINE JOHNSON LCSW (NPI 1417166455) is an individual clinical provider in Medford, Oregon, licensed in Oregon (L2938) and active in the NPI registry since May 2007. She has opted out of Medicare through February 18, 2028.

NPPES Registry Identity

NPI1417166455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHIRLEY LARAINE JOHNSONCredential: LCSW
Location Address33 N CENTRAL AVE, SUITE 320Medford, OR 97501-5900
Mailing Address33 N Central Ave, Suite 320Medford, OR 97501-5900 · (541) 890-3066 · Fax (541) 779-3260
Phone(541) 890-3066
Fax(541) 779-3260
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417166455 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 OR · L2938
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.
33 N CENTRAL AVE, Medford, OR 97501
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shirley Laraine Johnson Lcsw 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 February 18, 2022 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2022
Opt-Out In Effect ThroughFebruary 18, 2028Opt-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.

JEFFREY S DANZIK LCSW
Social Worker (Clinical)
33 N CENTRAL AVE, 400
MEDFORD, OR 97501
Jackson County (541) 821-9422
MR. JEREM ST JOHN EGAN LMT
Massage Therapist
33 N CENTRAL AVE, SUITE 410
MEDFORD, OR 97501
Jackson County (541) 282-7950
RITA HEINZ LCSW
Social Worker (Clinical)
33 N CENTRAL AVE
MEDFORD, OR 97501
Jackson County (541) 512-0615
MARGUERITE JEAN SMITH ANP
Nurse Practitioner (Adult Health)
33 N CENTRAL AVE, SUITE 425
MEDFORD, OR 97501
Jackson County (541) 779-5877
JENNIFER J. HIBBS LCSW
Social Worker (Clinical)
33 N CENTRAL AVE, STE. #416
MEDFORD, OR 97501
Jackson County (541) 773-3460
MB HEALTHCARE ASSOCIATES INC
Specialist
33 N CENTRAL AVE, SUITE 425
MEDFORD, OR 97501
Jackson County (541) 779-5877
MS. CAROL LAW CADC
Counselor (Mental Health)
33 N CENTRAL AVE, SUITE 207
MEDFORD, OR 97501
Jackson County (541) 292-0899
DR. RICK JACOBS PH D
Psychologist
33 N CENTRAL AVE
MEDFORD, OR 97501
Jackson County (541) 776-9045

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 Shirley Johnson's NPI number?

The NPI number for Shirley Johnson is 1417166455. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Shirley Johnson located?

Shirley Johnson practices at 33 N Central Ave Suite 320, Medford, OR 97501. The listed phone number is (541) 890-3066.

What is Shirley Johnson's specialty?

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

Is Shirley Johnson enrolled in Medicare?

No. Shirley Johnson has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shirley 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.