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

Mrs. Jacquetta Johnson, SOCIALWORKER

Individual provider Social Worker · NPI 1417621640

Mrs. Jacquetta Johnson, SOCIALWORKER is a Social Worker in Southfield, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

24463 W 10 Mile Rd
Southfield, MI 48033-2931
Phone: (248) 302-2201
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1417621640
Entity typeIndividual (Type 1)
GenderFemale
Credentials SOCIALWORKER
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

Other providers in Southfield