Brandon Cher'Awn Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017033882 Issued in MO

Practice address

3151 Litton Rd
Chillicothe, MO 64601-8502

Phone

(314) 828-0332

NPI assigned

Jul 11, 2019

Sex

Male

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)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: brandonjohnson@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1417509324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 11TH ST APT 501",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645033143",
            "telephone_number": "314-828-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 LITTON RD",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646018502",
            "telephone_number": "314-828-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRANDON",
        "middle_name": "CHER'AWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017033882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Hills Retirement
• James P. Suchsland, Inc
• Eric James, DPM
• Jarden Entities LLC
• Aubrey Dayle Jessen, PHARMD
• Daniel H Jones, O.D.
• Jordan Jones
• Tina Marie Jones, P.T.
• John O K'Omoga, OTR
• Hunter Keithley

• Clinical Social Worker in Chillicothe, MO
• Providers in Chillicothe, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.