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

Individual provider Case Manager/Care Coordinator · NPI 1790310886

Latrell Latress Johnson, LLBSW is a Case Manager/Care Coordinator in Wayne, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

35425 W Michigan Ave
Wayne, MI 48184-9800
Phone: (734) 722-4091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 6802089266 (MI)

Record details

NPI number1790310886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW
Sole proprietorYes
NPI enumeratedMarch 9, 2020
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

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