Johnson, Janae

Johnson, Janae is an sole proprietor health care provider with primary practice located at 10542 S Us Highway 1 , Port St Lucie FL 34952-5603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Janae can be contacted via phone (772) 236-4001.

Contact Information

Primary practice address
10542 S Us Highway 1 Port St Lucie FL 34952-5603
Phone: (772) 236-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 117424 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW19484 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida

Profile Details

NPI number 1205379906
LBN Legal business name Johnson, Janae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Mar 26th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205379906 NPPES
Florida MEDICAID 129915000

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