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

Justin Matthew Johnson, LISW

Individual provider Counselor · NPI 1508539495

Justin Matthew Johnson, LISW is a Counselor in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
3
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

22001 Fairmount Blvd
Cleveland, OH 44118-4819
Phone: (814) 335-5204
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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 I.2405788 (OH)
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X · Licence S.2207310 (OH)

Record details

NPI number1508539495
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

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