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

Pandora L Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1407422546

Pandora L Johnson, LCSW is a Clinical Social Worker in Fairfield, Connecticut. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2021
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

814 Mill Plain Rd
Fairfield, CT 06824-3807
Phone: (203) 470-7148
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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 11500 (CT)

Record details

NPI number1407422546
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 30, 2021
Last updated in NPPESMay 30, 2021
Certification dateMay 30, 2021

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)
Accepts Medicare assignment Not indicated

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