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

MS. Melita Travis Johnson, LMSW, CCDP

Individual provider Clinical Social Worker · NPI 1376936104

MS. Melita Travis Johnson, LMSW, CCDP is a Clinical Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

770 Kenmoor Ave SE Ste 103
Grand Rapids, MI 49546-8602
Phone: (616) 481-9337
Fax: (616) 719-3119
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801063274 (MI)

Record details

NPI number1376936104
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CCDP
Sole proprietorYes
NPI enumeratedMarch 18, 2015
Last updated in NPPESMarch 18, 2015

Other providers in Grand Rapids