DEZARAE LEANN JOHNSON ACSW PPS NPI 1356584999

NPI Information

  • NPI: 1356584999
  • Provider Name: DEZARAE LEANN JOHNSON, ACSW, PPS
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 64 E WELDON AVE
    FRESNO, CA
    ZIP 93704
  • Phone: (559) 442-1947

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NPI Details

Dezarae Leann Johnson, ACSW, PPS is a social worker in Fresno, CA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Dezarae Leann Johnson, ACSW, PPS NPI is 1356584999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

64 E WELDON AVE
FRESNO, CA
ZIP 93704-956
Phone: (559) 442-1947

The enumeration date for this NPI number is 4/13/2009 and was last updated on 6/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health88176CALIFORNIANo
2171M00000XCase Manager/Care CoordinatorNo
3225400000XRehabilitation Practitioner130019CALIFORNIANo
4104100000XSocial Worker130019CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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