MEDICARE: SHADEA KENDA JOHNSON LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	118587-01	NY

General Provider Information

NPI Number	:	1740118371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHADEA KENDA JOHNSON LMSW

Provider Business Mailing Address
First Line	:	84 ROSS ST APT 4D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-8524
Country	:	US
Telephone Number	:	646-509-7494
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 ROSS ST APT 4D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-8524
Country	:	US
Telephone Number	:	646-509-7494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

Similar Medicare Providers

1487196119 — SHERIKA GREEN
Practice Location Address:

8524 AVENUE M , APT #2
BROOKLYN, NY
11236-4914

Practice Phone: 917-312-6323
Practice Fax:

1134972607 — LATASHIA BROWN
Practice Location Address:

134 N 4TH ST
BROOKLYN, NY
11249-3296

Practice Phone: 646-450-7748
Practice Fax: 718-481-2061

1730487620 — MS. IVONA HUSZCZA LCSW
Practice Location Address:

109 N 12TH ST STE 704
BROOKLYN, NY
11249-1002

Practice Phone: 718-841-0829
Practice Fax:

1932039641 — THE ART OF INTEGRATION
Practice Location Address:

109 N 12TH ST STE 704
BROOKLYN, NY
11249-1002

Practice Phone: 470-851-0466
Practice Fax:

1306312236 — BETTY LYNN GANNON LCSW
Practice Location Address:

134 N 4TH ST
BROOKLYN, NY
11249-3296

Practice Phone: 646-450-7748
Practice Fax:

1235972845 — ANDREA NEDA NAZARI DMD
Practice Location Address:

144 N 8TH ST
BROOKLYN, NY
11249-2007

Practice Phone: 914-875-3255
Practice Fax:

Directions to “ SHADEA KENDA JOHNSON LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.