Kathy Johnson in Cedar Rapids - Clinical

Kathy Johnson - NPI 1417020066

Kathy Johnson is a Clinical in Cedar Rapids, Iowa. Kathy Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathy Johnson is 1417020066. The last update date is 2007-07-08.

Kathy Johnson's current location address is 520 11th St Nw, Cedar Rapids, Iowa. You can contact this provider via phone number 3193983562 and fax number 3193983501. The mailing address for Kathy Johnson is 520 11th St Nw, Cedar Rapids, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathy Johnson
Address 520 11th St Nw, Cedar Rapids, Iowa
Phone Number 3193983562
Fax Number 3193983501
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1417020066
Provider Enumeration Date 2006-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 520 11th St Nw
City Cedar Rapids
State Iowa (IA)
Post Code 524053811
Phone Number 3193983562
Fax Number 3193983501

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1507
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 Kathy Johnson

What is the unique 10-digit identification code issued to Kathy Johnson by the Centers for Medicare & Medicaid Services?

The Kathy Johnson has been assigned the NPI (National Provider Identifier) 1417020066 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Kathy Johnson's facilities are situated?

The facilities of Kathy Johnson are physically located at the following address: 520 11Th St Nw, Cedar Rapids, IA, 524053811.

What is the Kathy Johnson's area of specialization and corresponding taxonomy classification?

The Kathy Johnson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Kathy Johnson receive its 1417020066 assignment from the Centers for Medicare & Medicaid Services?

The Kathy Johnson was assigned its 1417020066 by the Centers for Medicare & Medicaid Services on 2006-11-15.

As of what date were the details related to Kathy Johnson most recently updated or revised?

The information pertaining to Kathy Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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