MARY ELIZABETH JOHNSON LCSW
NPI 1679202758
Social Worker in Ammon, ID

Active since June 06, 2022
1329 AMMON PARK DR, AMMON, ID 83406(208) 403-0135 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2024, Jul 18, 2022, Jun 6, 2022 (3 updates tracked since 2022).

About Mary Elizabeth Johnson Lcsw NPPES

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

MARY ELIZABETH JOHNSON LCSW (NPI 1679202758) is an individual social worker in Ammon, Idaho, licensed in Idaho (8911068) and active in the NPI registry since June 2022. She maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1679202758
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARY ELIZABETH JOHNSONCredential: LCSW
Location Address1329 AMMON PARK DRAmmon, ID 83406-4591
Mailing Address30131 Bulverde Ln Unit 371Bulverde, TX 78163-8821 · (602) 300-7302
Sole ProprietorNo
Enumeration DateJune 6, 2022
Last NPPES UpdateJanuary 21, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
NPI 1679202758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses Licensed in ID · 8911068 Licensed in TX · 65860
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.

1329 AMMON PARK DR, Ammon, ID 83406

Secondary Practice Location 1

Location 118756 Stone Oak Pkwy, Suite 200, Office #231San Antonio, TX 78258 · Phone (830) 513-5775

Accepted Insurance

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
1329 AMMON PARK DR
AMMON, ID 83406
Community/Behavioral Health
1329 AMMON PARK DR
AMMON, ID 83406
Social Worker (Clinical)
1329 AMMON PARK DR
AMMON, ID 83406
Social Worker (Clinical)
1329 AMMON PARK DR
AMMON, ID 83406
Counselor (Mental Health)
1329 AMMON PARK DR
AMMON, ID 83406
Counselor (Mental Health)
1329 AMMON PARK DR
AMMON, ID 83406
Counselor (Mental Health)
1329 AMMON PARK DR
AMMON, ID 83406
Social Worker (Clinical)
1329 AMMON PARK DR
AMMON, ID 83406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679202758, enumerated as an "individual" on June 06, 2022.

The provider is located at 1329 AMMON PARK DR AMMON, ID 83406 and the phone number is (208) 403-0135.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.