Provider Demographics
NPI:1447144779
Name:CEDILLO, JOHANNA (MSW)
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:CEDILLO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9015 TOWN CENTER PKWY UNIT 145
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5308
Mailing Address - Country:US
Mailing Address - Phone:941-526-6595
Mailing Address - Fax:
Practice Address - Street 1:9015 TOWN CENTER PKWY UNIT 145
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5308
Practice Address - Country:US
Practice Address - Phone:941-526-6595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL159621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical