MEDICARE: LATANYA JOHNSON LSW, LCADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00408800	NJ
2	104100000X	Social Worker	44SL07288500	NJ

General Provider Information

NPI Number	:	1467311225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATANYA JOHNSON LSW, LCADC

Provider Business Mailing Address
First Line	:	15 W PROSPECT ST STE 3
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-2161
Country	:	US
Telephone Number	:	848-229-5237
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 W PROSPECT ST STE 3
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-2161
Country	:	US
Telephone Number	:	848-229-5237
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1366437774 — DR. MICHAEL NEBEL DPM
Practice Location Address:

15 W PROSPECT ST
EAST BRUNSWICK, NJ
08816-2161

Practice Phone: 732-238-6222
Practice Fax:

1538381280 — MRS. MIZUKI OGAWA-PETERSON LCSW
Practice Location Address:

15 W PROSPECT ST
EAST BRUNSWICK, NJ
08816-2161

Practice Phone: 732-254-0600
Practice Fax: 732-254-8606

1114137635 — MELISSA HIGGINS L.C.S.W.
Practice Location Address:

15 W PROSPECT ST , UPPER FLOOR
EAST BRUNSWICK, NJ
08816-2161

Practice Phone: 732-254-0600
Practice Fax:

1467635987 — HEATHER KATHARINE LOPES MS, LPC
Practice Location Address:

15 W PROSPECT ST , UPPER FLOOR
EAST BRUNSWICK, NJ
08816-2161

Practice Phone: 732-254-0600
Practice Fax:

1861665168 — DENTAL ARTS STUDIO
Practice Location Address:

15 W PROSPECT ST
EAST BRUNSWICK, NJ
08816-2161

Practice Phone: 732-254-5600
Practice Fax:

1265672661 — MS. SANDRA IWASAWA LPC, ATR-BC
Practice Location Address:

15 W PROSPECT ST
EAST BRUNSWICK, NJ
08816-2161

Practice Phone: 732-254-8606
Practice Fax: 732-254-8606

Directions to “ LATANYA JOHNSON LSW, LCADC” 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.