Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1154712107

Jason Johnson, LCSW is a Clinical Social Worker in Caldwell, Idaho. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2609 S 10th Ave Ste 102
Caldwell, ID 83605-6885
Phone: (208) 454-2766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW36510 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34439 (ID)

Record details

NPI number1154712107
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 12, 2015
Last updated in NPPESApril 25, 2017
Mailing address702 Sunset Dr, Ontario, OR 97914-3121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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