Provider Demographics
NPI:1023267382
Name:JOHNSON, STEVEN (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4737 N OCEAN DR # 1019
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2920
Mailing Address - Country:US
Mailing Address - Phone:410-382-9934
Mailing Address - Fax:410-962-1269
Practice Address - Street 1:604 NE 27TH ST
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33334-2515
Practice Address - Country:US
Practice Address - Phone:954-300-2006
Practice Address - Fax:410-962-1269
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD109001041C0700X
FL174211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical