Active NPI
Johnson Cesar
- Clinical Social Worker
- Fort Pierce, FL
National Provider Identifier
1932992849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22180
- Practice address
- 2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795 - Phone
- (772) 242-1079
- Fax
- (772) 246-1296
- NPI assigned
- May 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22180 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11048205 | FL |
Addresses
Primary practice location
2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Mailing address
2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Phone (772) 242-1079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1932992849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 S 25TH ST STE 108",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474795",
"telephone_number": "772-242-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 S 25TH ST STE 108",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474795",
"telephone_number": "772-242-1079",
"fax_number": "772-246-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CESAR",
"first_name": "JOHNSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-23",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "22180",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11048205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.