IndividualActive
Shirley Johnson, LCSW
NPI 1417166455 · Clinical Social Worker · Medford, OR
Provider details
- NPI number
- 1417166455
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L2938 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33 N Central Ave
Suite 320
Medford, OR 97501-5900
Phone: (541) 890-3066
Fax: (541) 779-3260
Street-level locationGet directions
Mailing address
33 N Central Ave
Medford, OR 97501-5900
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.