ANJULI SHAH-JOHNSON LCSW
NPI 1881821189
Social Worker - Clinical in Portland, OR

Q: What is Anjuli Shah-johnson's NPI number?

The NPI number for Anjuli Shah-johnson is 1881821189. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Q: What is Anjuli Shah-johnson's specialty?

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

Q: Is Anjuli Shah-johnson enrolled in Medicare?

No. Anjuli Shah-johnson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 15, 2009Opted out of Medicare · through Oct 1, 2027

5014 NE 15TH AVE, PORTLAND, OR 97211(773) 991-0103 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Anjuli Shah-johnson Lcsw NPPES

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

ANJULI SHAH-JOHNSON LCSW (NPI 1881821189) is an individual clinical provider in Portland, Oregon, licensed in Illinois (149012025) and active in the NPI registry since June 2009. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1881821189

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANJULI SHAH-JOHNSONCredential: LCSW

Location Address5014 NE 15TH AVEPortland, OR 97211-4406

Mailing Address5014 Ne 15th AvePortland, OR 97211-4406 · (773) 991-0103

Phone(773) 991-0103

Sole ProprietorYes

Enumeration DateJune 15, 2009

Last NPPES UpdateJanuary 17, 2024

NPPES CertifiedJanuary 4, 2024

✔ NPI 1881821189 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 IL · 149012025

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.

5014 NE 15TH AVE, Portland, OR 97211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Anjuli Shah-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 October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

KATHLEEN ANNE MADDEN MA

Counselor (Mental Health)