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

MS. Nicole Jasmine Johnson, MSW, MA, LCSW

Individual provider Clinical Social Worker · NPI 1063422905

MS. Nicole Jasmine Johnson, MSW, MA, LCSW is a Clinical Social Worker in Bay Pines, Florida. Qualified in 2006, 20 years ago. Practices as a sole proprietor. Licensed in Alabama, Florida, New York and Virginia.

Years since qualifying
20
Licensed in
AL, FL, NY, VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
MA — Master of Arts
A graduate arts degree.
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

10000 Bay Pines Blvd
Bay Pines, FL 33744-5005
Phone: (813) 433-3562
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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 SW9363 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 5970C (AL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904018451 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 099154 (NY)

Record details

NPI number1063422905
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , MA , LCSW
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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