Alexandra Aurelia Johnson in San Pedro - Clinical
Alexandra Aurelia Johnson - NPI 1396867867
Alexandra Aurelia Johnson is a Clinical in San Pedro, California. Alexandra Aurelia Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alexandra Aurelia Johnson is 1396867867. The last update date is 2017-03-22.
Alexandra Aurelia Johnson's current location address is 640 W 20th St, San Pedro, California. You can contact this provider via phone number 3104901608. The mailing address for Alexandra Aurelia Johnson is 640 W 20th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexandra Aurelia Johnson |
|---|---|
| Address | 640 W 20th St, San Pedro, California |
| Phone Number | 3104901608 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1396867867 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2017-03-22 |
Provider Mailing Address Detail
| Address | 640 W 20th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907315520 |
| Phone Number | 3104901608 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 25747 |
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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 identifier code issued to Alexandra Aurelia Johnson by the Centers for Medicare & Medicaid Services?
The Alexandra Aurelia Johnson has been assigned the NPI (National Provider Identifier) 1396867867. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Alexandra Aurelia Johnson is geographically located?
The Alexandra Aurelia Johnson is physically situated at the following location: 640 W 20Th St, San Pedro, CA, 907315520.
What is Alexandra Aurelia Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alexandra Aurelia Johnson is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Alexandra Aurelia Johnson receive its 1396867867?
The Alexandra Aurelia Johnson was issued its 1396867867 on 2007-04-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Alexandra Aurelia Johnson most recently updated or revised?
The information pertaining to Alexandra Aurelia Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-22.