Robin M Johnson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111696 Issued in MA

Practice address

306 Grove St
Randolph, MA 02368-2923

Phone

(617) 553-6900

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Be Good Strategies

  • Adult Mental Health Clinic/Center
  • Randolph, MA
  • NPI 1538009584
  NPD Authorized official
• Behavioral Psychiatric & Psychological Associates, P.C.

  • Mental Health Counselor
  • Raynham, MA
  • NPI 1578674032
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1841301397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GROVE ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682923",
            "telephone_number": "617-319-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GROVE ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682923",
            "telephone_number": "617-553-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "11696",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel T Chariton DPM LLC
• Alexander M Johnson
• Crystal Elaine Johnson, MS
• Deella Nalinya Johnson, RN
• Gaige J Johnson
• Marcus Jones
• Nicole Jones, LPN
• Ananda T Jordan
• Nicole C Jordan
• Carl Joseph

• Clinical Social Worker in Randolph, MA
• Providers in Randolph, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.