Mitzie A. Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW02969 Issued in RI

Practice address

1045 Warwick Ave Ste 101
Warwick, RI 02888-3657

Phone

(401) 406-1205

NPI assigned

Aug 1, 2024

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

Locations

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.

• The Center for Change, LLC

  • Psychologist
  • Warwick, RI
  • NPI 1376892679

  Clinical

  NPD

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1679302194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 YELLOWSTONE AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883901",
            "telephone_number": "401-230-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WARWICK AVE STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883657",
            "telephone_number": "401-406-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MITZIE",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Jo Johnson, APRN/BC
• Eileen G Johnson, PH.D.
• Johnnie Johnson, LCSW
• Kellie A. Johnson, RN, CDOE
• Maria Renee Gabrielle Johnson, MD
• Trinity A Johnson
• Brian P Johnston, MSW, LICSW
• Bobbielyn Lyn Jones, LCSW
• Curtis Thompson Jones, MD
• Gregg Thomas Jones, R.PH.

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.