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

Mr. Johnny Anderson III, LLMSW

Individual provider Social Worker · NPI 1548004831

Mr. Johnny Anderson III, LLMSW is a Social Worker in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

10032 Shaver Rd
Portage, MI 49024-6738
Phone: (269) 543-7776
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6851112863 (MI)

Record details

NPI number1548004831
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Other providers in Portage