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MRS. JACQUETTA JOHNSON SOCIAL WORKER
NPI 1417621640
Social Worker in Southfield, MI

Active since August 02, 2021
24463 W 10 MILE RD, SOUTHFIELD, MI 48033(248) 302-2201 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jacquetta Johnson Social Worker NPPES

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

MRS. JACQUETTA JOHNSON SOCIAL WORKER (NPI 1417621640) is an individual social worker in Southfield, Michigan and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1417621640
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. JACQUETTA JOHNSONCredential: SOCIAL WORKER
Location Address24463 W 10 MILE RDSouthfield, MI 48033-2931
Mailing Address24463 W 10 Mile RdSouthfield, MI 48033-2931 · (248) 302-2201
Phone(248) 302-2201
Sole ProprietorNo
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1417621640 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.
24463 W 10 MILE RD, Southfield, MI 48033
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Other Names 1

Former Name (1)Jacquetta Bass

Other Providers at the Same Location NPPES 14

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

DEBORAH LEE YOUNGBLOOD
Physical Therapy Assistant
24463 W 10 MILE RD
SOUTHFIELD, MI 48033
Oakland County (586) 556-9156
ANNA CAROLINE SHERRY LLMSW
Social Worker (Clinical)
24463 W 10 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 556-9111
STEPHANIE LAFONTAINE NP
Nurse Practitioner (Family)
24463 W 10 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 532-2161
SAMANTHA WRAY
Occupational Therapy Assistant
24463 W 10 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 556-9156
JULIJA BURAKAUSKAS DNP
Nurse Practitioner (Primary Care)
24463 W 10 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 556-9333
SHARAYU BHARAT DALVI
Physical Therapist
24463 W 10 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 223-7200
MARIEL MARTIN
Social Worker (Clinical)
24463 W 10 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 320-4652
DR. NICHOLAS JOSEPH M.D.
Internal Medicine (Geriatric Medicine)
24463 W 10 MILE RD, PACE SOUTHEAST MICHIGAN
SOUTHFIELD, MI 48033
Oakland County (855) 445-4554

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 Jacquetta Johnson's NPI number?

The NPI number for Jacquetta Johnson is 1417621640. It was assigned to this individual provider in the NPPES registry on August 2, 2021. The provider is also known as Jacquetta Bass.

Where is Jacquetta Johnson located?

Jacquetta Johnson practices at 24463 W 10 Mile Rd, Southfield, MI 48033. The listed phone number is (248) 302-2201.

What is Jacquetta Johnson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jacquetta Johnson was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.