Michelle C Johnson, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001156 Issued in DE

Practice address

504 S Clayton St
Wilmington, DE 19805-4211

Phone

(302) 893-9235

NPI assigned

Jan 11, 2007

Last updated

Jun 26, 2012By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Healing Station LLC

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1467158196
  NPD Authorized official
• Michelle C. Johnson L.C.S.W.

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1104180751
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1578613501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W 35TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022639",
            "telephone_number": "302-893-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054211",
            "telephone_number": "302-893-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Dale Johnson, DC
• Laura Christine Johnson
• Lavon Johnson, PTA
• Lolita Johnson
• Meghan Johnson
• Momolu Moses Johnson, RN
• Regina Jane Johnson, LPCMH
• Rena D Johnson, CRNP
• Rochelle Johnson, LMSW
• Rochelle L Johnson, LSW

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.