Anna Marie Johnson, LCSW
Individual provider Active NPI Clinical Social Worker · Whitehouse, TX
NPI 1609170802 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1609170802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 113333 (TX)
- Practice address
- 15632 St Hwy 110 S
Whitehouse, TX 75791-9384 - Phone
- (910) 502-0544
- NPI assigned
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
417 S Saunders Ave
Christus Trinity Clinic
Tyler, TX 75702-8344
Phone (903) 533-1491
520 Douglas Blvd
Tyler, TX 75702-8307
Phone (903) 593-1721
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
Hospital & facility affiliations
- Christus Mother Frances Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251015004945 | TX | Practitioner - Clinical Social Worker | 5890976476 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C007088 | NC | MD | Clinical Social Worker |
| 113333 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Tricare Counseling & Consulting, Inc. | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Sacred Therapies | Clinical | Past |
Accepting new patients |
Locations
731 Tilghman Dr
Dunn, NC 28334
Phone (910) 249-4219
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
520 Douglas Blvd
Tyler, TX 75702
Phone (903) 510-1175
417 S Saunders Ave
Tyler, TX 75702
Phone (903) 533-1491
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C007088 | NC | |
| Clinical Social Worker | 1041C0700X | 113333 | TX | Yes |
Addresses
Primary practice location
15632 St Hwy 110 S
Whitehouse, TX 75791-9384
Mailing address
811 Davis Ave
Dunn, NC 28334-2656
Phone (910) 502-0544
Other practice location 1
417 S Saunders Ave
Tyler, TX 75702-8344
Phone (903) 606-7999
Other practice location 2
520 Douglas Blvd
Tyler, TX 75702-8307
Phone (903) 606-7999
Other practice location 3
5135 Morganton Rd
Suite 201
Fayetteville, NC 28314-1525
Phone (910) 502-0544
Other providers in Whitehouse, TX
- Jodie Lynn Hopkins
- Skylynn Noelle Housh
- Justin David Hughes
- Janet Hurley
- Abigail Johnson
- Angela Marie Jordan Blount
- Amanda M Kelly
- Kelly Jean Kennedy
- James Michael Kitchens
- Paula Kitchens
All providers in Whitehouse, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.