LAQUETTA JOHNSON (LCSW) – Clinical Social Worker, NPI 1457588733
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
825 CLINICAL SOCIAL WORKER in AZ
Provider Addresses for LAQUETTA JOHNSON (LCSW)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 853952713
Phone: (480) 964-7833
Type: Mailing
4283, El Cajon Boulevard, East San Diego, City Heights, San Diego, San Diego County, California, 92105, United States
SAN DIEGO, CA 921051289
Phone: (619) 521-1743
Type: Mailing
9520 W PALM LN STE 240
PHOENIX, AZ 850374448
Phone: (623) 289-1654
Fax: (623) 233-5189
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251229000840 | I | Clinical Social Worker | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85395)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | CA | |
| Clinical Psychologist | MD | |
| Clinical Social Worker | MD | |
| Clinical Psychologist | CO | |
| Mental Health Counselor | MD | |
| Clinical Psychologist | NY | |
| Clinical Psychologist | TN | |
| Clinical Psychologist | NC | |
| Clinical Psychologist | TX | |
| Clinical Social Worker | MD |
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