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

Misty Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1356097166

Misty Johnson, LCSW is a Clinical Social Worker in Davis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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

1410 Olympic Dr
Davis, CA 95616-6641
Phone: (503) 980-5223
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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 106347 (CA)

Record details

NPI number1356097166
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 2, 2022
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address1410 Olympic Dr, Davis, CA 95616-6641

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