Individual provider · Type 1 NPI

Thea Dione Johnson, LICSW

Clinical Social Worker · Charleston, WV

NPI number 1629993274 Active

Practice location

3001 Chesterfield Ave
Charleston, WV 25304-1126

Mailing address

2313 Harrison Ave
St. Albans, WV 25177-2005

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00943038 (WV)

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 1629993274

Thea Dione Johnson, LICSW's National Provider Identifier is 1629993274, issued on Aug 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, WV. The record was last updated on Aug 12, 2026.