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BROOKE LARSON JOHNSON LCSW
NPI 1447809355
Social Worker - Clinical in Marietta, GA

Active since September 04, 2019Opted out of Medicare · through Mar 13, 2028
738 WOODLAWN DRIVE, MARIETTA, GA 30068(770) 726-9589 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, Jul 6, 2021, Sep 4, 2019 (3 updates tracked since 2019).

About Brooke Larson Johnson Lcsw NPPES

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

BROOKE LARSON JOHNSON LCSW (NPI 1447809355) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (CSW007117) and active in the NPI registry since September 2019. She has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1447809355
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBROOKE LARSON JOHNSONCredential: LCSW
Location Address738 WOODLAWN DRIVEMarietta, GA 30068
Mailing Address2875 Barbara Lane NeMarietta, GA 30062 · (770) 726-9589
Phone(770) 726-9589
Sole ProprietorYes
Enumeration DateSeptember 4, 2019
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
✔ NPI 1447809355 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 GA · CSW007117
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.
738 WOODLAWN DRIVE, Marietta, GA 30068
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Other Names 1

Former Name (1)Brooke Erin Larson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brooke Larson Johnson Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 13, 2024 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2024
Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Brooke Johnson's NPI number?

The NPI number for Brooke Johnson is 1447809355. It was assigned to this individual provider in the NPPES registry on September 4, 2019. The provider is also known as Brooke Erin Larson.

Where is Brooke Johnson located?

Brooke Johnson practices at 738 Woodlawn Drive, Marietta, GA 30068. The listed phone number is (770) 726-9589.

What is Brooke Johnson's specialty?

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

Is Brooke Johnson enrolled in Medicare?

No. Brooke Johnson has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brooke Johnson was last updated on October 24, 2023. 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.