Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336234822 Individual Practitioner Female Practitioner

Judith L Johnson , LCSW, LPC

Social Worker - Clinical • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Judith Johnson, LCSW, LPC is a registered healthcare professional specializing in Social Worker - Clinical in St Augustine, FL. Practice services are available at 104 LOYOLA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 Loyola Rd

St Augustine, FL 320866022

Telephone 5738037892
Fax 9047972723

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
90 Specialists

Practicing in St Augustine, FL (13861 Statewide)

Telehealth Adoption Rate
8.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW11715

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
493292817 (MO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 02, 2015

Registered at 104 LOYOLA RD, ST AUGUSTINE, FL 320866022 (Tel: 5738037892)

📍
Updated Business Mailing Address December 02, 2015

Registered at 104 LOYOLA RD, ST AUGUSTINE, FL 320866022 (Tel: 5738037892)

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Provider Name / Credentials Updated December 02, 2015

Recorded as JUDITH JOHNSON, LCSW, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2015

Social Worker (License #SW11715 in FL)

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Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336234822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: December 02, 2015
Sole Proprietor: Yes

Mailing Address

104 Loyola Rd

St Augustine, FL 320866022

Phone: 5738037892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.