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

Mayle Johnson

Individual provider Clinical Social Worker · NPI 1790512010

Mayle Johnson is a Clinical Social Worker in San Andreas, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

891 Mountain Ranch Rd Bldg N
San Andreas, CA 95249-9713
Phone: (209) 754-6525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 104743 (CA)

Record details

NPI number1790512010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

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