Individual provider Active NPI

Venenzia Lynn Johnson, MSSW, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1154773919
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103827 Issued in TX
Practice address
11733 Timber Heights Dr.
Austin, TX 78754-5932
Phone
(512) 546-3342
NPI assigned
Jul 5, 2016
Reactivated
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103827 TX Primary

Addresses

Primary practice location

11733 Timber Heights Dr.
Austin, TX 78754-5932

Mailing address

11733 Timber Heights Dr.
Austin, TX 78754-5932
Phone (512) 546-3342

Other names 1

  • Ms. Venenzia Lynn Gonzalez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flowing Seasons Therapy, PLLC. CurrentSince Aug 4, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1154773919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11733 TIMBER HEIGHTS DR.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545932",
            "telephone_number": "512-546-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11733 TIMBER HEIGHTS DR.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545932",
            "telephone_number": "512-546-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VENENZIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "deactivation_date": "2018-02-27",
        "reactivation_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENENZIA",
            "last_name": "GONZALEZ",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; 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.