Individual
NATHAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 HISLOP DR, OGDEN, UT 84404-5313
(801) 917-6024
Mailing address
1015 HISLOP DR, OGDEN, UT 84404-5313
(801) 917-6024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107580
TX
1041C0700X
Clinical Social Worker
Primary
10831088-3501
UT
1041C0700X
Clinical Social Worker
C015803
NC
1041C0700X
Clinical Social Worker
CW023522
PA
1041C0700X
Clinical Social Worker
LCSW-42760
ID
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICARE PIN
UT
01
—
260022408
RAILROAD MEDICARE
UT
05
—
8760003008007
—
UT
Enumeration date
10/06/2016
Last updated
04/17/2026
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