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

Mary Elizabeth Johnson, LCSW

Individual provider Social Worker · NPI 1679202758

Mary Elizabeth Johnson, LCSW is a Social Worker in Ammon, Idaho. Works from 2 locations. Licensed in Idaho and Texas.

Licensed in
ID, TX
In the registry since
2022
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

1329 Ammon Park Dr
Ammon, ID 83406-4591
Phone: (208) 403-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18756 Stone Oak Pkwy, San Antonio, TX 78258 — (830) 513-5775

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 8911068 (ID)
Social Worker Taxonomy 104100000X · Licence 65860 (TX)

Record details

NPI number1679202758
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

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