Breana Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

132437 Issued in CA

Practice address

PO Box 691272
Stockton, CA 95269-1272

Phone

(209) 425-1562

NPI assigned

Jun 14, 2018

Reactivated

May 12, 2020

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.

• Victor Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Manteca, CA
  • NPI 1215579628
  NPD
• Epiphany Counseling, Consulting & Treatment Services, PC

  • Clinical Social Worker
  • San Pedro, CA
  • NPI 1376922328
  NPD (past)
• Turning Point Community Programs - PSH

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1114054475
  NPD (past)
• Victor Community Support Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Stockton, CA
  • NPI 1932251980
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1326532284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691272",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952691272",
            "telephone_number": "209-425-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 691272",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952691272",
            "telephone_number": "209-425-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BREANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "deactivation_date": "2020-05-02",
        "reactivation_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyesha Lynn Nicole Johnson-King
• Abrain Anne Johnson
• Amaurryon Johnson
• Ashley Johnson
• Badinur Johnson
• Brendan Johnson
• Camaya Johnson
• Charles Sanford Johnson Jr., M.D.
• Darrell Brent Johnson Sr., MSW
• Destiny Johnson

• Clinical Social Worker in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.