Healthcare Provider Details

I. General information

NPI: 1689533440
Provider Name (Legal Business Name): CADENCE NADINE JOHNSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 N JEFFERSON AVE
SPRINGFIELD MO
65802-1988
US

IV. Provider business mailing address

1423 N JEFFERSON AVE
SPRINGFIELD MO
65802-1988
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-8727
  • Fax:
Mailing address:
  • Phone: 417-269-8727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2024023139
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberL17375
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: