Johnna Renae, LMSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106199 Issued in MI

Practice address

902 E Lincoln Ave
Royal Oak, MI 48067-3360

Phone

(248) 735-3900

NPI assigned

Apr 14, 2023

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

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1477249282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E LINCOLN AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673360",
            "telephone_number": "248-735-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E LINCOLN AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673360",
            "telephone_number": "248-735-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAE",
        "first_name": "JOHNNA",
        "credential": "LMSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie G Rekucki, CRNA
• Relationship Academy Mi, Inc
• Jack Remenar
• Catherine Theresa Remesz
• Athanasios Rempakos, MD
• Ann Marie Renard, PHD, LP
• Jacquelyn Paige Renard
• Renata C McLaughlin PLLC
• Alexander Joseph Rennie, MD
• Susan Renusch, D.D.S.

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, 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 Apr 14, 2023; 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.