Individual provider · Type 1 NPI

Jennifer R. A. Johnson, LCSW

Clinical Social Worker · Portland, ME

NPI number 1649779224 Active

Practice location

216 Vaughan St
Portland, ME 04102-3204

Call (207) 662-2221 Map

Fax (207) 810-2367

Other practice locations

  • 135 Westbrook St, South Portland, ME 04106 · (208) 691-1333

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC19250 (ME)

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 1649779224

Jennifer R. A. Johnson, LCSW's National Provider Identifier is 1649779224, issued on Feb 8, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Mar 17, 2025.