Venessia Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3450 Highway 80 W
Jackson, MS 39209-7201

Phone

(601) 321-2400

NPI assigned

May 24, 2018

Sex

Female

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• V.K. Johnson, LCSW & Consultants, LLC

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1326502535
  Medicare reassignment Authorized official
• Fitness Clinic Wellness

  • Physical Therapist
  • Jackson, MS
  • NPI 1912352022
  Medicare reassignment NPD
• Southern Behavioral Medicine Associates PLLC

  • Health Psychologist
  • Hattiesburg, MS
  • NPI 1487950564
  Medicare reassignment

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1437640463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MIDWAY ESTATES DR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391708488",
            "telephone_number": "601-260-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 HIGHWAY 80 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392097201",
            "telephone_number": "601-321-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Ridgewood Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164922",
            "country_code": "US",
            "telephone_number": "601-260-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VENESSIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka Johnson, RD, CLC, CCP
• Tasha Johnson
• Terrence Zebedee Johnson
• Thomas Bradley Johnson, CRNA
• Troncea Johnson
• Wanda Johnson, BCFNP
• Warren Johnson
• Wayne C Johnson Jr., M.D.
• William Blair Johnson Jr., M.D.
• William Walter Johnson, M.D.

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.