Melrita Maechel Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4028-C Issued in AR

Practice address

1090 Arnold Dr
Little Rock AFB, AR 72099-4933

Phone

(501) 987-3080

NPI assigned

Mar 20, 2007

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFAIDD/Endpoint/GFAIDD

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

• Alpha CHI Epsilon Sigma Social Work Sorority, Inc.

  • Clinical Social Worker
  • Forrest City, AR
  • NPI 1821728585
  NPD Authorized official
• Exodus.Life

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1437889185
  NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1013032754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 ARNOLD DR",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720994933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 ARNOLD DR",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720994933",
            "telephone_number": "501-987-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Sancerre Dr",
            "address_purpose": "LOCATION",
            "city": "Maumelle",
            "state": "AR",
            "postal_code": "721136978",
            "country_code": "US",
            "telephone_number": "870-510-4981",
            "fax_number": "501-421-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELRITA",
        "middle_name": "MAECHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4028-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freddie Hicks, APRN
• Emily M Holmes, LCSW
• Patricia Ellen Hoogeveen, O.D.
• Catrina Yvette Horn, LCSW
• Joel Hutchison, DO
• Andre' P Jones
• Megan Keller, DDS
• Mary Eileen Kelly
• Natalee Brook Kemper
• Lisa A Kennedy, LCSW

• Clinical Social Worker in Little Rock AFB, AR
• Providers in Little Rock AFB, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.