Individual provider · Type 1 NPI

Tasha Johnson

Clinical Social Worker · Jackson, MS

NPI number 1508308008 Active

Practice location

7 Lakeland Cir
Jackson, MS 39216-5022

Call (769) 279-2474 Map

Mailing address

PO Box 10551
Jackson, MS 39289-0551

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X127626 (CA)

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 1508308008

Tasha Johnson's National Provider Identifier is 1508308008, issued on Nov 15, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Jul 3, 2025.