MS. MELITA TRAVIS JOHNSON LMSW, CCDP
NPI 1376936104
Social Worker - Clinical in Grand Rapids, MI

Active since March 18, 2015
770 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546(616) 481-9337(616) 719-3119 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Melita Travis Johnson Lmsw, Ccdp NPPES

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

MS. MELITA TRAVIS JOHNSON LMSW, CCDP (NPI 1376936104) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801063274) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1376936104
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MELITA TRAVIS JOHNSONCredential: LMSW, CCDP
Location Address770 KENMOOR AVE SE STE 103Grand Rapids, MI 49546-8602
Mailing Address1130 Elmdale St NeGrand Rapids, MI 49525-2632 · (616) 481-9337 · Fax (616) 719-3119
Fax(616) 719-3119
Sole ProprietorYes
Enumeration DateMarch 18, 2015
NPI 1376936104 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 · 6801063274
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.
770 KENMOOR AVE SE STE 103, Grand Rapids, MI 49546

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
770 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546

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 Melita Travis Johnson's NPI number?

The NPI number for Melita Travis Johnson is 1376936104. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Melita Travis Johnson located?

Melita Travis Johnson practices at 770 Kenmoor Ave SE Ste 103, Grand Rapids, MI 49546. The listed phone number is (616) 481-9337.

What is Melita Travis 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 Melita Travis Johnson was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.