Active NPI
Thea Dione Johnson, LICSW
- Clinical Social Worker
- Charleston, WV
National Provider Identifier
1629993274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00943038
- Practice address
- 3001 Chesterfield Ave
Charleston, WV 25304-1126 - Phone
- (304) 419-2247
- NPI assigned
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP00943038 | WV | Primary |
Addresses
Primary practice location
3001 Chesterfield Ave
Charleston, WV 25304-1126
Mailing address
2313 Harrison Ave
Saint Albans, WV 25177-2005
Phone (304) 419-2247
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1629993274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 HARRISON AVE",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772005",
"telephone_number": "304-419-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 CHESTERFIELD AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041126",
"telephone_number": "304-419-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "THEA",
"middle_name": "DIONE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00943038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.