Trenese Marie Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002907 Issued in GA

Practice address

6078 Crooked Creek Dr
Rex, GA 30273-5004

Phone

(404) 840-8841

NPI assigned

Jun 22, 2009

Last updated

Jun 22, 2009By 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)

Enrolled

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.

• Serenity Social Services, LLC

  • Community/Behavioral Health Agency
  • Rex, GA
  • NPI 1326345604
  Authorized official Same address or phone

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1750518320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6078 CROOKED CREEK DR",
            "city": "REX",
            "state": "GA",
            "postal_code": "302735004",
            "telephone_number": "404-840-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6078 CROOKED CREEK DR",
            "city": "REX",
            "state": "GA",
            "postal_code": "302735004",
            "telephone_number": "404-840-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRENESE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Marie Jackson
• Shanqueata Yatrice Jackson
• Hiram L James Jr.
• Racheal James, C.N.A
• Sallie Johnson, RN
• Jovans Pharmacy Corp (Jovans Pharmacy)
• Joseph Jupiter
• Keep Inspiring Dreams Inc
• Naneka S Kennon Pam, REGISTERED NURSE
• KLB Transportation Services LLC (East Metro EMT Services)

• Clinical Social Worker in Rex, GA
• Providers in Rex, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.