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MAL RAE JOHNSON LCSW
NPI 1235654880
Social Worker - Clinical in Detroit, MI

Active since August 04, 2017
1 FORD PL STE 5E, DETROIT, MI 48202(313) 874-5426 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2019, Aug 29, 2017, Aug 14, 2017 and 1 more (4 updates tracked since 2017).

About Mal Rae Johnson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAL RAE JOHNSON LCSW (NPI 1235654880) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801107511) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1235654880
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAL RAE JOHNSONCredential: LCSW
Location Address1 FORD PL STE 5EDetroit, MI 48202-3450
Mailing Address1 Ford Pl Ste 5eDetroit, MI 48202-3450 · (313) 874-5426
Phone(313) 874-5426
Sole ProprietorNo
Enumeration DateAugust 4, 2017
Last NPPES UpdateJanuary 30, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1235654880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801107511
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1 FORD PL STE 5E, Detroit, MI 48202
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Other Names 1

Former Name (1)Mallory Rae Glover

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mal Johnson's NPI number?

The NPI number for Mal Johnson is 1235654880. It was assigned to this individual provider in the NPPES registry on August 4, 2017. The provider is also known as Mallory Rae Glover.

Where is Mal Johnson located?

Mal Johnson practices at 1 Ford Pl Ste 5E, Detroit, MI 48202. The listed phone number is (313) 874-5426.

What is Mal Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mal Johnson was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.