IndividualActive
Fayanna Johnson, LCSW
NPI 1356798615 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1356798615
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L7709 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10615 Se Cherry Blossom Dr Ste 250
Portland, OR 97216-3103
Phone: (971) 373-4041
Street-level locationGet directions
Mailing address
8383 Ne Sandy Blvd Ste 440
Portland, OR 97220-4986
Additional practice locations (1)
- 8383 Ne Sandy Blvd Ste 110bPortland, OR 97220-4967Phone: (971) 373-4085Fax: (971) 373-5285
Registry dates
- Enumerated
- 2016-05-17
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.