Denise Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801067399 Issued in MI

Practice address

5555 Conner St Ste 3096
Detroit, MI 48213-3817

Phone

(313) 992-9002

Fax

(313) 532-3615

NPI assigned

Apr 6, 2007

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Quiet Avenue LLC

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1508400573
  NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1306969381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 WESTMORELAND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194028",
            "telephone_number": "313-532-3615",
            "fax_number": "313-532-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 3096",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133817",
            "telephone_number": "313-992-9002",
            "fax_number": "313-532-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26677 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341514",
            "country_code": "US",
            "telephone_number": "248-358-6926",
            "fax_number": "248-358-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ross Johnson
• Dawnielle Lavette Johnson, HT
• Deborah Angela Johnson, L.L.P.
• Deborah Ruth Johnson, NP
• Delisa Johnson, SOCIAL WORKER BSW
• Denita Johnson, RN, BSN
• Dennise A. Johnson, OTR
• Deonta L Johnson
• Dequanna Johnson, FNP
• Derek Johnson, RDN

• 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 Oct 8, 2019; 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.