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NPISignal

Individual Healthcare Provider

Nicholette Dawn Johnson

NPI Record: ActiveSocial Worker
NPI1053960245
San Dimas, California

Provider's NPPES record last updated: May 30, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1053960245
Primary Specialty
Social Worker
Practice Location
San Dimas, California
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 4:24 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Social Worker

    Behavioral Health & Social Service Providers

    Primary

    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

    Taxonomy code 104100000X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X
  • Social Worker

    Clinical

    Behavioral Health & Social Service Providers

    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

    Taxonomy code 1041C0700X

Provider-Reported License Information

Social Worker (California)
89288
Counselor (California)
89288
Social Worker (California)
89288
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

670 W Baseline Rd

San Dimas, California 91773-1492

Phone: (909) 741-7124

Additional Practice Location

1940 Baseline Rd

La Verne, California 91750-2148

Phone: (909) 392-1344

Additional Practice Location

16226 E Benwick St.

Valinda, California 91744-1301

Phone: (626) 917-0857

Additional Practice Location

158 Gentry St

Pomona, California 91767-2100

Phone: (909) 599-8222

Fax: (909) 599-8223

Additional Practice Location

1923 E Eckerman Ave

West Covina, California 91791-1113

Phone: (626) 332-4600

Additional Practice Location

30 Country Wood Dr

Pomona, California 91766-4818

Phone: (909) 332-4600

Additional Practice Location

3340 E Whitebirch Dr

West Covina, California 91791-3039

Phone: (626) 430-6864

Additional Practice Location

8814 Santa Fe Springs Rd

Whittier, California 90606-2821

Phone: (562) 698-1062

Record Information

Enumeration Date
September 10, 2019
Provider's NPPES Record Last Updated
May 30, 2023
Certification Date
May 30, 2023
NPISignal NPPES Dataset
August 2026

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