Healthcare Provider Details

I. General information

NPI: 1265520381
Provider Name (Legal Business Name): GERALDINE JOHNSON MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GERI JONES-JOHNSON MSW

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 E 7TH STREET
LONG BEACH CA
90804
US

IV. Provider business mailing address

3755 LIME AVENUE
LONG BEACH CA
90807
US

V. Phone/Fax

Practice location:
  • Phone: 562-826-8000
  • Fax: 562-826-5471
Mailing address:
  • Phone: 562-826-8000
  • Fax: 562-826-5471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number072693-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW0000006538
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: