Kathryn A. Johnson is a Clinical in Boston, Massachusetts. Kathryn A. Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn A. Johnson is 1811045339. The last update date is 2007-07-08.
Kathryn A. Johnson's current location address is 304 Newbury St # 436, Boston, Massachusetts. You can contact this provider via phone number 6172590680. The mailing address for Kathryn A. Johnson is 304 Newbury St # 436, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn A. Johnson |
|---|---|
| Address | 304 Newbury St # 436, Boston, Massachusetts |
| Phone Number | 6172590680 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1811045339 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 304 Newbury St # 436 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21152839 |
| Phone Number | 6172590680 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 112100 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P05810 | MA | BCBS | |
| 11464850 | MA | CAQH | |
| 141934151-01 | MA | PACIFICARE | |
| 2236661 | MA | CIGNA INSURANCE | |
| 6339756220 | MA | UNITEDHEALTHCARE |
Post Comment/ Review Below
What is the Kathryn A. Johnson's 1811045339?
The Kathryn A. Johnson's NPI (National Provider Identifier) Number is 1811045339. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kathryn A. Johnson is physically located?
The Kathryn A. Johnson is situated at the following address: 304 Newbury St # 436, Boston, MA 21152839.
What is the Kathryn A. Johnson's specialty and taxonomy code?
The Kathryn A. Johnson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Kathryn A. Johnson receive its 1811045339 assignment?
The Kathryn A. Johnson was assigned its 1811045339 on 2007-01-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kathryn A. Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathryn A. Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.