Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracey L Johnson, LISW-CP

Individual provider Clinical Social Worker · NPI 1396816385

Mrs. Tracey L Johnson, LISW-CP is a Clinical Social Worker in Rock Hill, South Carolina. Graduated from Brody School of Medicine at East Carolina University in 1998, 28 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
28
Trained at
Brody School of Medicine at East Carolina University
Licensed in
SC
In the registry since
2006
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Practice location Address checks out

150 Oakland Ave
Rock Hill, SC 29730-4073
Phone: (803) 334-4056
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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 6970 (SC)

Record details

NPI number1396816385
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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