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MAYLE JOHNSON
NPI 1790512010
Social Worker - Clinical in San Andreas, CA

Active since September 19, 2024
891 MOUNTAIN RANCH RD BLDG N, SAN ANDREAS, CA 95249(209) 754-6525 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mayle Johnson NPPES

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

MAYLE JOHNSON (NPI 1790512010) is an individual clinical provider in San Andreas, California, licensed in California (104743) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1790512010
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAYLE JOHNSON
Location Address891 MOUNTAIN RANCH RD BLDG NSan Andreas, CA 95249-9713
Mailing Address5204 Hagen CtValley Springs, CA 95252-8678 · (209) 918-0453
Phone(209) 754-6525
Sole ProprietorYes
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1790512010 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 CA · 104743
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.
891 MOUNTAIN RANCH RD BLDG N, San Andreas, CA 95249
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MARIA ROBINSON
Case Manager/Care Coordinator
891 MOUNTAIN RANCH RD BLDG N
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525

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 Mayle Johnson's NPI number?

The NPI number for Mayle Johnson is 1790512010. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Mayle Johnson located?

Mayle Johnson practices at 891 Mountain Ranch Rd Bldg N, San Andreas, CA 95249. The listed phone number is (209) 754-6525.

What is Mayle 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 Mayle Johnson was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.