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

Mr. Johnny Josiah Meehan, LCSW

Individual provider Clinical Social Worker · NPI 1003103458

Mr. Johnny Josiah Meehan, LCSW is a Clinical Social Worker in Sonora, California. Qualified in 2019, 7 years ago. Practices with M a C T Health Board Incorporated, a 25-clinician group. Licensed in California and Idaho.

Years since qualifying
7
Licensed in
CA, ID
In the registry since
2011
Specialties on file
2
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

13975 Mono Way Ste J
Sonora, CA 95370-2824
Phone: (209) 588-4640
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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 137651 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-42126 (ID)

Record details

NPI number1003103458
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 6, 2011
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice M A C T Health Board Incorporated — 25 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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