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

Shelby Johnson, LMSW

Individual provider Clinical Social Worker · NPI 1700429214

Shelby Johnson, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Fax: (616) 455-5960
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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 6801105643 (MI)

Record details

NPI number1700429214
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESOctober 28, 2019
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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
Practice locations2 on file with Medicare

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