Individual provider Active NPI

Vivian Janise Johnson, LCSW

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1770115024
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001760 Issued in DE
Practice address
100 Commerce Dr Ste 100
Newark, DE 19713-2850
Phone
(302) 224-1400
Fax
(302) 525-6706
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001760 DE Primary

Addresses

Primary practice location

100 Commerce Dr Ste 100
Newark, DE 19713-2850

Mailing address

100 Commerce Dr Ste 100
Newark, DE 19713-2850
Phone (302) 224-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200312000658 DE Practitioner - Clinical Social Worker 7517395262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

910 S Chapel St
Suite 102
Newark, DE 19713-3468
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001760DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Feb 18, 2020 Accepting new patients

Locations

650 Naamans Rd
Ste 110
Claymont, DE 19703
Phone (302) 217-3884

24077 Country Living Rd
Ste 2
Millsboro, DE 19966
Phone (302) 772-5132

100 W Commons Blvd
Ste 301
New Castle, DE 19720
Phone (302) 428-0205

300 Biddle Ave
Ste 207
Newark, DE 19702
Phone 3022241400 ext. 614

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

100 Commerce Dr
Ste 100
Newark, DE 19713
Phone (302) 575-8240

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.vivianjohnson@148542.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1770115024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMERCE DR STE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132850",
            "telephone_number": "302-224-1400",
            "fax_number": "302-525-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE DR STE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132850",
            "telephone_number": "302-224-1400",
            "fax_number": "302-525-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VIVIAN",
        "middle_name": "JANISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.