Individual provider Active NPI

Dajia Johnson

  • Clinical Social Worker
  • Monroe, LA
National Provider Identifier
1497287882
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16238 Issued in LA
Practice address
1205 N 18TH St Ste 101a
Monroe, LA 71201-5400
Phone
(713) 835-5096
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-5116 LA
Clinical Social Worker 1041C0700X 16238 LA Primary

Addresses

Primary practice location

1205 N 18TH St Ste 101a
Monroe, LA 71201-5400

Mailing address

1205 N 18TH St Ste 101a
Monroe, LA 71201-5400
Phone (713) 835-5096

Other practice location 1

3000 Kilpatrick Blvd Ste 300
Monroe, LA 71201-5166
Phone (318) 381-8584

Other practice location 2

2017 Hudson Ln
Monroe, LA 71201
Phone (318) 381-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-5116LAMDAddiction (Substance Use Disorder) Counselor
16238LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Center LLC Addiction (Substance Use Disorder) CurrentSince Aug 1, 2022 Accepting new patients
Bold Horizons LLC Past Accepting new patients

Locations

1205 N 18th St
Ste 101A
Monroe, LA 71201
Phone (713) 835-5096

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1497287882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N 18TH ST STE 101A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015400",
            "telephone_number": "713-835-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N 18TH ST STE 101A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015400",
            "telephone_number": "713-835-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Kilpatrick Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015166",
            "country_code": "US",
            "telephone_number": "318-381-8584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2017 Hudson Ln",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "71201",
            "country_code": "US",
            "telephone_number": "318-381-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAJIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC-5116",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "16238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.