Individual
MS. BRIDIE MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1605 JEFFERSON ST, OAKLAND, CA 94612-1215
(510) 923-1099
Mailing address
1919 ADDISON ST STE 204, BERKELEY, CA 94704-1143
(510) 899-7445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-03921
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
S-03921
MI
104100000X
Social Worker
120229
CA
1041C0700X
Clinical Social Worker
Primary
120229
CA
1041C0700X
Clinical Social Worker
6801080144
MI
1041C0700X
Clinical Social Worker
CSW.09927483
CO
374J00000X
Doula
MI-02985
MI
Other
Enumeration date
02/26/2015
Last updated
10/21/2025
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