Michael Lee Johnson in Fayetteville - Clinical

Michael Lee Johnson - NPI 1063423051

Michael Lee Johnson is a Clinical in Fayetteville, Arkansas. Michael Lee Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Lee Johnson is 1063423051. The last update date is 2007-07-08.

Michael Lee Johnson's current location address is 1100 N College Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794445048. The mailing address for Michael Lee Johnson is 1100 N College Ave, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Lee Johnson
Address 1100 N College Ave, Fayetteville, Arkansas
Phone Number 4794445048
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1063423051
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1100 N College Ave
City Fayetteville
State Arkansas (AR)
Post Code 727031944
Phone Number 4794445048
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C - 1037
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Michael Lee Johnson

What is the Michael Lee Johnson's 1063423051?

The Michael Lee Johnson's NPI (National Provider Identifier) Number is 1063423051. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michael Lee Johnson?

The Michael Lee Johnson is physically situated at 1100 N College Ave, in the city of Fayetteville, state of AR, with the postal code 727031944.

What is Michael Lee Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Lee Johnson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063423051 to Michael Lee Johnson?

The Centers for Medicare & Medicaid Services assigned the 1063423051 to Michael Lee Johnson on 2006-08-11.

As of what date were the details pertaining to Michael Lee Johnson last refreshed?

The information related to the Michael Lee Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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