Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacye A Johnson, CSW

Individual provider Clinical Social Worker · NPI 1245545946

Jacye A Johnson, CSW is a Clinical Social Worker in Atlanta, Georgia. Qualified in 1999, 27 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Licensed in
GA
In the registry since
2010
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Practice location Address checks out

1200 Lake Hearn Dr NE Ste 250
Atlanta, GA 30319-1415
Phone: (404) 943-1070
Fax: (404) 943-0890
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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 CSW003228 (GA)

Record details

NPI number1245545946
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorYes
NPI enumeratedAugust 18, 2010
Last updated in NPPESAugust 18, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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