Rae Lynn Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4297 Issued in FL

Practice address

1920 S Ocean Dr
Unit 1202
Ft Lauderdale, FL 33316-3764

Phone

(954) 593-3564

Fax

(954) 587-0040

NPI assigned

Feb 8, 2008

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)

Enrolled

State licenses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1639357932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 S OCEAN DR",
            "address_2": "UNIT 1202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163764",
            "telephone_number": "954-593-3564",
            "fax_number": "954-587-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S OCEAN DR",
            "address_2": "UNIT 1202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163764",
            "telephone_number": "954-593-3564",
            "fax_number": "954-587-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Johnson, LMHC
• Keneisha Adeni Johnson
• Marcia E Johnson, PHD, LCSW-C
• Pamela Ann Johnson, LCSW, CAP
• Peter Stuart Johnson, MD
• Shanice Johnson, RDN
• Sharona Jenise Johnson
• Sheri Johnson, RSW, CHT, LCSW
• Sophia A Johnson, RBT
• Timothy Kyle Johnson, CRNA

• Clinical Social Worker in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.