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

Mal Rae Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1235654880

Mal Rae Johnson, LCSW is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
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

1 Ford Pl Ste 5E
Detroit, MI 48202-3450
Phone: (313) 874-5426
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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 6801107511 (MI)

Record details

NPI number1235654880
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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