Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aveda Jane Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1245911072

Aveda Jane Johnson, LCSW is a Clinical Social Worker in Sunnyside, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4404 Queens Blvd
Sunnyside, NY 11104-2406
Phone: (239) 913-9360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101323 (NY)

Record details

NPI number1245911072
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address2427 Steinway St Apt 3, Astoria, NY 11103-3618

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