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

Individual provider Mental Health Counselor · NPI 1780672915

Roderick Verne Johnson, LCSW is a Mental Health Counselor in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2005
Specialties on file
2
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

860 E 4500 S Ste 302
Salt Lake City, UT 84107-3002
Phone: (801) 685-9600
Fax: (801) 268-3777
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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 134722-3501 (UT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 134722-3501 (UT)

Record details

NPI number1780672915
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 11, 2005
Last updated in NPPESNovember 5, 2012

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