Shauntez Antoine Johnson, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851108961 Issued in MI

Practice address

882 Oakman Blvd
Detroit, MI 48238-3710

Phone

(888) 360-9355

NPI assigned

Nov 7, 2020

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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.

• Quality Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1558493916
  NPD (past)

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1265033906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9934 HARTWELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273425",
            "telephone_number": "313-424-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383710",
            "telephone_number": "888-360-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAUNTEZ",
        "middle_name": "ANTOINE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-07",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851108961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanonielle Johnson, RN
• Shantae Monae Johnson, AGACNP-BC
• Shara L. Johnson, PH.D.
• Sharniece Alexis Johnson
• Sharon Denise Johnson, M.A., LPC
• Shelly Lynn Johnson
• Sherise Lashun Johnson, LBSW
• Stefanie Johnson, RN
• Stefanie Johnson, FNP-C
• Teresa Ann Johnson

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.