SHIRLEY ANN JOHNSON OHIO LICDC-CSAND LSW
NPI 1942656244
Family Medicine - Addiction Medicine in Dayton, OH

Active since May 05, 2016
8658 N MAIN ST, DAYTON, OH 45415(937) 701-0030(937) 387-9043 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley Ann Johnson Ohio Licdc-csand Lsw NPPES

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

SHIRLEY ANN JOHNSON OHIO LICDC-CSAND LSW (NPI 1942656244) is an individual addiction medicine provider in Dayton, Ohio, licensed in Ohio (LICDC-CS 933508) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1942656244
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameSHIRLEY ANN JOHNSONCredential: OHIO LICDC-CSAND LSW
Location Address8658 N MAIN STDayton, OH 45415-1328
Mailing Address8658 N Main StDayton, OH 45415-1328 · (937) 701-0030 · Fax (937) 387-9043
Fax(937) 387-9043
Sole ProprietorYes
Enumeration DateMay 5, 2016
NPI 1942656244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Licenses Licensed in OH · LICDC-CS 933508 Licensed in OH · LSW S0021857
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
8658 N MAIN ST, Dayton, OH 45415

Other Identifiers 1

Medicare PINH436030OH

Other Providers at the Same Location NPPES

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

Clinic/Center (Health Service)
8658 N MAIN ST
DAYTON, OH 45415

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 1942656244. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Shirley Johnson located?

Shirley Johnson practices at 8658 N Main St, Dayton, OH 45415. The listed phone number is (937) 701-0030.

What is Shirley Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Shirley Johnson was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.