Johanna Maria Soto Gonzalez, LICSW
Social Worker, Clinical in Salem, MA. Individual provider (NPI-1).
NPI number1669945903
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1669945903
- Entity type
- Individual (NPI-1)
- Name
- Johanna Maria Soto Gonzalez
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2019
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LICSW1141441 | MA | Yes |
| 1041C0700X | Social Worker, Clinical | LCSW228251 | MA | |
| 101Y00000X | Counselor | – | – |
Other names
- Johanna Maria Soto (Former Name)
Practice location
110 Boston StSalem, MA 01970-1402
Phone 781-592-5691
Mailing address
110 Boston StSalem, MA 01970-1402
Phone 781-592-5691
Other practice locations
700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345
Cambridge, MA 02139-3345
Phone 888-500-2067 · Fax 617-649-8520
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