DWAYNE ANTHONY JOHNSON JR.
NPI 1366923658
Social Worker in Grand Rapids, MI

Active since August 24, 2018
1115 BALL AVE NE BLDG A, GRAND RAPIDS, MI 49505(616) 456-7775 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dwayne Anthony Johnson Jr. NPPES

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

DWAYNE ANTHONY JOHNSON JR. (NPI 1366923658) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1366923658
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDWAYNE ANTHONY JOHNSON JR.
Location Address1115 BALL AVE NE BLDG AGrand Rapids, MI 49505-5904
Mailing Address1115 Ball Ave Ne Bldg AGrand Rapids, MI 49505-5904 · (616) 456-7775
Sole ProprietorNo
Enumeration DateAugust 24, 2018
NPI 1366923658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1115 BALL AVE NE BLDG A, Grand Rapids, MI 49505

Other Identifiers 1

OtherJ525157067197MI · Drivers License Number

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505
Counselor
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366923658, enumerated as an "individual" on August 24, 2018.

The provider is located at 1115 BALL AVE NE BLDG A GRAND RAPIDS, MI 49505 and the phone number is (616) 456-7775.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.