RODERICK VERNE JOHNSON LCSW
NPI 1780672915
Social Worker - Clinical in Salt Lake City, UT

Active since October 11, 2005
860 E 4500 S, SUITE 302, SALT LAKE CITY, UT 84107(801) 685-9600(801) 268-3777 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roderick Verne Johnson Lcsw NPPES

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

RODERICK VERNE JOHNSON LCSW (NPI 1780672915) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (134722-3501) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1780672915
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRODERICK VERNE JOHNSONCredential: LCSW
Location Address860 E 4500 S, SUITE 302Salt Lake City, UT 84107-3002
Mailing Address860 E 4500 S, Suite 302Salt Lake City, UT 84107-3002 · (801) 685-9600 · Fax (801) 268-3777
Fax(801) 268-3777
Sole ProprietorYes
Enumeration DateOctober 11, 2005
Last NPPES UpdateNovember 5, 2012
NPI 1780672915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 134722-3501
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 134722-3501 (UT)
860 E 4500 S, Salt Lake City, UT 84107

Other Identifiers 4

Medicare UPINR61153
Medicare ID-Type Unspecified005737501
Medicare ID-Type Unspecified005736601
Other870575977Tin

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
860 E 4500 S, SUITE 302
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
860 E 4500 S, SUITE #302
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
860 E 4500 S
SALT LAKE CITY, UT 84107
Counselor (Professional)
860 E 4500 S, SUITE 302
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
860 E 4500 S, SUITE #302
SALT LAKE CITY, UT 84107
Psychiatry & Neurology (Psychiatry)
860 E 4500 S, SUITE 302
SALT LAKE CITY, UT 84107

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 Roderick Johnson's NPI number?

The NPI number for Roderick Johnson is 1780672915. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Roderick Johnson located?

Roderick Johnson practices at 860 E 4500 S Suite 302, Salt Lake City, UT 84107. The listed phone number is (801) 685-9600.

What is Roderick Johnson'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 Roderick Johnson was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.