IndividualActive
Dwayne Johnson
NPI 1366923658 · Social Worker · Grand Rapids, MI
Dwayne Johnson is a Social Worker provider in Grand Rapids, MI (NPI 1366923658).
Provider details
- NPI number
- 1366923658
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1115 Ball Ave Ne Bldg a
Grand Rapids, MI 49505-5904
Phone: (616) 456-7775
Street-level locationGet directions
Mailing address
1115 Ball Ave Ne Bldg a
Grand Rapids, MI 49505-5904
Registry dates
- Enumerated
- 2018-08-24
- Last updated
- 2018-08-24
Frequently asked questions
- What is Dwayne Johnson's NPI number?
- Dwayne Johnson's National Provider Identifier (NPI) is 1366923658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwayne Johnson's specialty?
- Dwayne Johnson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Dwayne Johnson located?
- Dwayne Johnson's practice location on file with NPPES is 1115 Ball Ave Ne Bldg a, Grand Rapids, MI 49505-5904.
- What is Dwayne Johnson's phone number?
- The practice phone number listed in the NPPES registry for Dwayne Johnson is (616) 456-7775.
- Is Dwayne Johnson's NPI active?
- Yes — Dwayne Johnson's NPI (1366923658) is active in the NPPES registry as of the last update on 2018-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.