MS. SUEZAN L JOHNSON (LCSW) – Clinical Social Worker, NPI 1770513962
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. SUEZAN L JOHNSON (LCSW)
175 W 1400 N STE A.
LDS FAMILY SERVICES
LOGAN, UT 84341
Phone: (435) 753-0272
Fax: (435) 753-2252
Type: Mailing
325 W Logan Rd
Garden City, UT 840287754
Phone: (435) 946-3660
Fax: (435) 946-8215
Type: Location
120 S Main St
Randolph, UT 840647701
Phone: (435) 755-6061
Fax: (435) 994-3806
Type: Location
517 W 100 N Ste 110
Providence, UT 843329826
Phone: (435) 755-6075
Fax: (435) 723-7331
Type: Location
152 S 4th St
Montpelier, ID 832541538
Phone: (208) 847-2108
Fax: (208) 847-2109
Type: Location
5 W 200 N
Brigham City, UT 843022109
Phone: (435) 723-7999
Fax: (435) 723-7331
Type: Location
517 W 100 N STE 210
PROVIDENCE, UT 843329826
Phone: (435) 755-6061
Fax: (435) 994-8362
Type: Mailing
1515 N 400 E STE 104
NORTH LOGAN, UT 843417595
Phone: (435) 755-6061
Fax: (435) 755-6091
Type: Location
175, West 1400 North, Logan, Cache County, Utah, 84341, United States
STE A LDS FAMILY SERVICES
LOGAN, UT 84341
Phone: (435) 752-5302
Fax: (435) 753-9007
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: 2006-05-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060504000437 | I | Clinical Social Worker | UT | 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 84341)
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