SHARON RENA JOHNSON (L.C.S.W.) – Clinical Social Worker, NPI 1366421299

SHARON RENA JOHNSON (L.C.S.W.) is a healthcare provider. based in Midvale, Utah. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.C.S.W.. They hold a License No. 49702123501 (UT). The NPI Number for SHARON RENA JOHNSON (L.C.S.W.) is 1366421299

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SHARON RENA JOHNSON (L.C.S.W.)
NPI
1366421299
Phone
(801) 561-0465
Address
6934 WELL SPRING RD
Enumeration Date
10 January 2006
Last Update Date
14 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012888400
Graduation Year
2000 (26 years ago)
PAC ID
0042208464
Group Practice PAC ID
0042121196
Professional Enrollment ID
I20040504001381
Address ID
UT840471395MI6854X700X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

965 CLINICAL SOCIAL WORKER in UT

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Provider Addresses for SHARON RENA JOHNSON (L.C.S.W.)

  • 6934, Well Spring Road, Three Fountains East Condominium, Midvale, Salt Lake County, Utah, 84047, United States

    MIDVALE, UT 840474027

    Phone: (801) 561-0465

    Type: Mailing

  • 900 East, 9th & 9th, Salt Lake City, Salt Lake County, Utah, 84102-3541, United States

    #240

    SALT LAKE CITY, UT 841211720

    Phone: (801) 263-7225

    Type: Location

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: 2004-05-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040504001381IClinical Social WorkerUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 84047)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042121196View full group profile

Reviews

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Frequently asked questions

What federal number belongs to SHARON RENA JOHNSON (L.C.S.W.)?
The federal identifier for SHARON RENA JOHNSON (L.C.S.W.) is NPI 1366421299.
Is SHARON RENA JOHNSON (L.C.S.W.)'s NPI currently valid?
The extract we use shows SHARON RENA JOHNSON (L.C.S.W.) as active.
Does SHARON RENA JOHNSON (L.C.S.W.) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for SHARON RENA JOHNSON (L.C.S.W.). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHARON RENA JOHNSON (L.C.S.W.)?
The page summarizes Midvale, Utah for SHARON RENA JOHNSON (L.C.S.W.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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