Renee A Johnson is a Clinical in Brimley, Michigan. Renee A Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Renee A Johnson is 1821297318. The last update date is 2018-01-31.
Renee A Johnson's current location address is 12124 W Lakeshore Dr, Brimley, Michigan. You can contact this provider via phone number 9062485527 and fax number 9062485765. The mailing address for Renee A Johnson is 12124 W Lakeshore Dr, Brimley, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee A Johnson |
|---|---|
| Address | 12124 W Lakeshore Dr, Brimley, Michigan |
| Phone Number | 9062485527 |
| Fax Number | 9062485765 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1821297318 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2018-01-31 |
Provider Mailing Address Detail
| Address | 12124 W Lakeshore Dr |
|---|---|
| City | Brimley |
| State | Michigan (MI) |
| Post Code | 497159319 |
| Phone Number | 9062485527 |
| Fax Number | 9062485765 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801086777 |
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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 |
|---|---|---|---|
| 1821297318 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Renee A Johnson by the Centers for Medicare & Medicaid Services?
The Renee A Johnson has been issued the NPI (National Provider Identifier) 1821297318, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Renee A Johnson is physically located?
The Renee A Johnson is physically situated at the following address: 12124 W Lakeshore Dr, Brimley, MI, 497159319.
What is Renee A Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Renee A Johnson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1821297318 assigned to Renee A Johnson?
The Renee A Johnson was issued its 1821297318 on 2007-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Renee A Johnson most recently updated or revised?
The details related to Renee A Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2018-01-31.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC