Individual provider · Type 1 NPI

Fayanna Johnson, LCSW

Clinical Social Worker · Portland, OR

NPI number 1356798615 Active

Practice location

10615 SE Cherry Blossom Dr Ste 250
Portland, OR 97216-3103

Mailing address

8383 NE Sandy Blvd Ste 440
Portland, OR 97220-4986

Other practice locations

  • 8383 NE Sandy Blvd Ste 110B, Portland, OR 97220-4967 · (971) 373-4085

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL7709 (OR)

Clinical Social Worker: 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 interpers…

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About NPI 1356798615

Fayanna Johnson, LCSW's National Provider Identifier is 1356798615, issued on May 17, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on May 14, 2025.