Mark Johnson is a Clinical in Norwich, Connecticut. Mark Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Johnson is 1275686453. The last update date is 2007-07-08.
Mark Johnson's current location address is 511 New London Tpke, Norwich, Connecticut. You can contact this provider via phone number 8608869324 and fax number 8608866182. The mailing address for Mark Johnson is 511 New London Tpke, Norwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Johnson |
|---|---|
| Address | 511 New London Tpke, Norwich, Connecticut |
| Phone Number | 8608869324 |
| Fax Number | 8608866182 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275686453 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 511 New London Tpke |
|---|---|
| City | Norwich |
| State | Connecticut (CT) |
| Post Code | 63606552 |
| Phone Number | 8608869324 |
| Fax Number | 8608866182 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5699 |
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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 Mark Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Johnson has been assigned the NPI (National Provider Identifier) 1275686453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mark Johnson's physical address?
The Mark Johnson is physically located at 511 New London Tpke, in the city of Norwich, CT, with the postal code 63606552.
What is the Mark Johnson's specialty and taxonomy code?
The Mark Johnson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Mark Johnson receive its 1275686453 assignment?
The Mark Johnson was assigned its 1275686453 on 2007-01-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark Johnson most recently updated?
The details pertaining to the Mark Johnson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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