MEDICARE: NATHAN JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW023522	PA
2	1041C0700X	Clinical Social Worker	10831088-3501	UT
3	1041C0700X	Clinical Social Worker	C015803	NC
4	1041C0700X	Clinical Social Worker	LCSW-42760	ID
5	1041C0700X	Clinical Social Worker	107580	TX

General Provider Information

NPI Number	:	1528518206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN JOHNSON

Provider Business Mailing Address
First Line	:	1015 HISLOP DR
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-5313
Country	:	US
Telephone Number	:	801-917-6024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 HISLOP DR
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-5313
Country	:	US
Telephone Number	:	801-917-6024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	04/17/2026

Similar Medicare Providers

1326843418 — GOLD STAR MENTAL HEALTH PLLC
Practice Location Address:

1015 HISLOP DR
OGDEN, UT
84404-5313

Practice Phone: 385-240-2686
Practice Fax:

1750736088 — MR. MARK WILSON
Practice Location Address:

5313 OGDEN ST
PHILADELPHIA, PA
19139-1438

Practice Phone: 215-600-9477
Practice Fax: 215-921-8499

1831544659 — MWE TRANSPORT INC
Practice Location Address:

5313 OGDEN ST
PHILADELPHIA, PA
19139-1438

Practice Phone: 215-900-3098
Practice Fax:

1225971245 — BRAYDEN JAMES WELCH
Practice Location Address:

159 N 4700 W
OGDEN, UT
84404-9409

Practice Phone: 385-626-9873
Practice Fax: 801-872-8757

1790782357 — INFINIA AT OGDEN
Practice Location Address:

524 E 800 N
OGDEN, UT
84404-3600

Practice Phone: 801-782-3740
Practice Fax: 801-782-3594

1710974381 — MINDY M BOEHM MD
Practice Location Address:

1159 E 12TH ST
OGDEN, UT
84404-5144

Practice Phone: 801-475-3700
Practice Fax: 801-475-3701

Directions to “ NATHAN JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.