EBONY NICOLE JOHNSON LCSW - NPI 1528625993 - Social Worker in Brandon, FL

Q: What is Ebony Johnson's NPI number?

The NPI number for Ebony Johnson is 1528625993. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Ebony Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebony Johnson was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Ebony Nicole Johnson Lcsw NPPES

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

EBONY NICOLE JOHNSON LCSW (NPI 1528625993) is an individual clinical provider in Brandon, Florida, licensed in Florida (SW18488) and active in the NPI registry since May 2019. She maintains a secondary practice location in Plant City.

NPPES Registry Identity

NPI1528625993

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEBONY NICOLE JOHNSONCredential: LCSW

Location Address126 LITHIA PINECREST RDBrandon, FL 33511-5347

Mailing Address12319 Fairlawn DrRiverview, FL 33579-3921 · (813) 451-2501

Phone(813) 358-6841

Sole ProprietorYes

Enumeration DateMay 21, 2019

Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration

NPPES CertifiedAugust 6, 2021

✔ NPI 1528625993 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 FL · SW18488

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.

126 LITHIA PINECREST RD, Brandon, FL 33511

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Secondary Practice Location 1

Location 11001 E Baker St Ste 100Plant City, FL 33563-3700 · Phone (813) 754-5555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

KELSEY PATERSON LCSW

Social Worker (Clinical)