Individual provider Active NPI

Chavonn M Johnson, LCSW-S, LCDC-I, CCM

  • Clinical Social Worker
  • Mansfield, TX
National Provider Identifier
1972977189
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61334 Issued in TX
Practice address
733 Highway 287 N Ste 311
Mansfield, TX 76063-2765
Phone
(817) 914-3251
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 61334 TX
Clinical Social Worker 1041C0700X 61334 TX Primary
Mental Health Counselor 101YM0800X 61334 TX

Addresses

Primary practice location

733 Highway 287 N Ste 311
Mansfield, TX 76063-2765

Mailing address

2425 Clayton Oaks Dr
Grand Prairie, TX 75052-4101
Phone (817) 760-0481

Other practice location 1

3201 Matlock Rd Ste 350
Arlington, TX 76015-2954
Phone (864) 336-2731

Other practice location 2

2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Phone (864) 336-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230210001345 TX Practitioner - Clinical Social Worker 0244602696 Reassigns benefits to 4 organizations
I20260521004517 LA Practitioner - Clinical Social Worker 0244602696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

803 Sunken Rd
Fredericksburg, VA 22401-5401

PO Box
Atlanta, GA 30374

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
80
Improvement activities
40
Cost
66.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61334TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Institute for Health Evaluation and Research Unlimited LLC CurrentSince Apr 26, 2024 Accepting new patients
Supportive Care LLC CurrentSince Jun 3, 2023 Accepting new patients
Ihearu Mental Health LLC CurrentSince Apr 26, 2024 Accepting new patients
Omega OB-GYN Associates of South Arlington CurrentSince Jan 10, 2026 Accepting new patients
Dallas County Mental Health & Mental Retardation Center Case Manager/Care Coordinator CurrentSince Feb 5, 2024 Accepting new patients
Familywell PLLC Clinical CurrentSince Jan 10, 2026 Accepting new patients
BSW Geode Clinicians of Texas PLLC CurrentSince Apr 7, 2026 Accepting new patients
Familywell PLLC Clinical PastSince Jan 28, 2024 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

3201 Matlock Rd
Ste 350
Arlington, TX 76015
Phone (817) 468-3255

2025 Guadalupe St
Ste 260
Austin, TX 78705
Phone (508) 658-3489

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1350 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 331-0107

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

2401 Callender Rd
Ste 105
Mansfield, TX 76063
Phone (214) 444-3557

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Interoperability endpoints

  • Direct secure messaging: chavonnjohnson@tdh.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/20865/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1972977189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CLAYTON OAKS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524101",
            "telephone_number": "817-760-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 287 N STE 311",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632765",
            "telephone_number": "817-914-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Matlock Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152954",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Guadalupe St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787055642",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHAVONN",
        "middle_name": "M",
        "credential": "LCSW-S, LCDC-I, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "61334",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61334",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.