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Shanta Johnson is one of 268 clinical social workers practicing in Austin, Texas .
Shanta Johnson practices with Sondermind Provider Network LLC.
Registry record (NPPES)
NPI
1023569613
Type
Type 1 · Individual
Primary taxonomy
Social Worker, Clinical · 1041C0700X
Address on file
1195 Shining Water Ln Creedmoor, NC 27522-7243 (984) 209-0303
Enumerated
Oct 18, 2016
Record last updated
Jun 16, 2025
License states listed
MA, NC
Medicare (CMS)
Enrollment
Medicare-enrolled in FL, MA, NC, TX, VAClinical Social Worker, Mental Health Counselor
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2021 Guadalupe St Suite 260
Austin , TX 78705
(866) 630-0966
More clinical social workers in Austin
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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