Michelle C. Johnson L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001156 Issued in DE

Legal business name

MICHELLE C. JOHNSON L.C.S.W.

Practice address

504 S Clayton St
Wilmington, DE 19805-4211

Phone

(302) 893-9235

Fax

(302) 655-4406

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle C. Johnson, L.C.S.W.NPI 1578613501

Title

L.C.S.W. Therapist

Phone

(302) 893-9235

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle C Johnson, L.C.S.W.

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1578613501
  NPD (past) Authorized official

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1104180751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W 35TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022639",
            "telephone_number": "302-893-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054211",
            "telephone_number": "302-893-9235",
            "fax_number": "302-655-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE C. JOHNSON L.C.S.W.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "L.C.S.W. THERAPIST",
        "authorized_official_telephone_number": "302-893-9235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Rosen DDS PA
• Craig Michaels
• Melissa Michaels, PT, DPT
• Maria W. Michell, D.O.
• Theodore W. Michell, D.O.
• Laura Michelli
• Michael Michelli, AU.D.
• Mid Atlantic Prosthetics and Orthotics North
• Mid Atlantic Surgical LLC
• Mid-Atlantic Dental Partners Delaware II Professional Associates

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.