Michael Kendrick Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003882 Issued in GA

Practice address

343 8TH St NE
#E-2
Atlanta, GA 30309-4282

Phone

(678) 895-8412

Fax

(404) 879-0779

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Psych Solutions Corp

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1225078629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1003072364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 8TH ST NE",
            "address_2": "#E-2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094282",
            "telephone_number": "678-895-8412",
            "fax_number": "404-879-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 8TH ST NE",
            "address_2": "#E-2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094282",
            "telephone_number": "678-895-8412",
            "fax_number": "404-879-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "KENDRICK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316564733A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mecca Dawn Johnson
• Melanie Lena Johnson, PA-C
• Melissa Ann Johnson, OT
• Meredith Leigh Johnson, MS, RDN, CSP, LD
• Metrice Johnson
• Michele Johnson
• Michele Marie Johnson, M.D.
• Michelle Deloach Johnson, SLP
• Michelle Oluwadamilola Johnson
• Miesha Johnson, CNA CMT

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.