Rudy Johansen, LCSW

NPI 1255382610 · on the registry since 2006

Practice

Address: 500 Foothill Dr
116ho
Salt Lake City, UT 84148
Phone: (801) 582-1565
Fax: (801) 584-2507
Organisation at this address: Slc Va Medical Center
Va Salt Lake City Health Care System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 339

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah