Martin Wugene Johnson in Maumelle - Clinical
Martin Wugene Johnson - NPI 1649356692
Martin Wugene Johnson is a Clinical in Maumelle, Arkansas. Martin Wugene Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martin Wugene Johnson is 1649356692. The last update date is 2007-07-08.
Martin Wugene Johnson's current location address is 323 Mountain Terrace Circle, Maumelle, Arkansas. You can contact this provider via phone number 5012576738. The mailing address for Martin Wugene Johnson is 323 Mountain Terrace Circle, Maumelle, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Martin Wugene Johnson |
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Address | 323 Mountain Terrace Circle, Maumelle, Arkansas |
Phone Number | 5012576738 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LMSW |
NPI Number Detail
NPI Number | 1649356692 |
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Provider Enumeration Date | 2006-10-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 323 Mountain Terrace Circle |
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City | Maumelle |
State | Arkansas (AR) |
Post Code | 72112 |
Phone Number | 5012576738 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 201-M |
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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What is the unique provider identifier assigned to Martin Wugene Johnson?
The Martin Wugene Johnson has been issued the NPI (National Provider Identifier) 1649356692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Martin Wugene Johnson located?
The Martin Wugene Johnson is located at 323 Mountain Terrace Circle, Maumelle, AR 72112.
What is Martin Wugene Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martin Wugene Johnson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649356692 to Martin Wugene Johnson?
The Martin Wugene Johnson received its 1649356692 assignment from the Centers for Medicare & Medicaid Services on 2006-10-31.
When was the Martin Wugene Johnson's information last updated?
The Martin Wugene Johnson's information was last updated on 2007-07-08.