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

Tracie Denell Johnson

Individual provider Social Worker · NPI 1053092262

Tracie Denell Johnson is a Social Worker in Riverside, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

3333 14th St
Riverside, CA 92501-3858
Phone: (951) 788-8812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 124599 (CA)

Record details

NPI number1053092262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address3333 14th St, Riverside, CA 92501-3858

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