- Practice location
- 5 Pilgrim Park RD, Waterbury, VT 05676-1735
- Phone
- 802-474-1878
- Fax
- —
- Last updated
- December 11, 2025
Charlie-Mae Johnson is a Social Worker, Clinical based in Waterbury, VT. Charlie-Mae Johnson practices in Waterbury, VT and has the professional credentials of LICSW. The NPI Number for Charlie-Mae Johnson is 1013871219 and holds a License No. 089.0136799PROV (VT). The current practice location address for Charlie-Mae Johnson is 5 Pilgrim Park RD, Waterbury, VT 05676-1735 and can be reached out via phone at 802-474-1878.
Provider Profile Details
- NPI Number
- 1013871219
- Provider Name
- Charlie-Mae Johnson
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 Pilgrim Park RD, Waterbury, VT 05676-1735
- Phone Number
- 802-474-1878
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 11, 2025
- Last Update Date
- December 11, 2025
- Certification Date
- December 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Pilgrim Park RD
Waterbury, VT 05676-1735 - City
- Waterbury
- State
- Vermont
- Zip
- 05676-1735
- Phone Number
- 802-474-1878
Provider Business Mailing Address Details
- Address
- 324 Dalton RD
Dalton, NH 03598-5723 - City
- Dalton
- State
- NH
- Zip
- 03598-5723
License Information
- License Number
- 089.0136799PROV
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Waterbury, VT
View all Social Worker, Clinical providers in Waterbury →- Chantelle DimambroSocial Worker, Clinical · NPI 1578417291
- Edward G Foden V, LICSWSocial Worker, Clinical · NPI 1831774165
- Karinne Comenzo, MA, LICSW, LADCSocial Worker, Clinical · NPI 1285386243
- Sage R FrostCase Manager/Care Coordinator · NPI 1871419770
- Laurie A Carcieri, BSCase Manager/Care Coordinator · NPI 1609792720
- Anthony H Alloway, BACase Manager/Care Coordinator · NPI 1629903117
Frequently Asked Questions
What is the NPI number of Charlie-Mae Johnson, LICSW?
The NPI number of Charlie-Mae Johnson, LICSW is 1013871219. It was assigned on December 11, 2025 and is currently active in the NPPES registry.
What is the specialty of Charlie-Mae Johnson, LICSW?
Charlie-Mae Johnson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0136799PROV.
Where does Charlie-Mae Johnson, LICSW practice?
The practice location is 5 Pilgrim Park RD, Waterbury, VT 05676-1735. The office can be reached at 802-474-1878 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013871219 directly on the NPPES registry website.