Lisa Gifford Johnson in Grand Rapids - Clinical
Lisa Gifford Johnson - NPI 1366637829
Lisa Gifford Johnson is a Clinical in Grand Rapids, Michigan. Lisa Gifford Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Gifford Johnson is 1366637829. The last update date is 2023-03-27.
Lisa Gifford Johnson's current location address is 2020 Raybrook St Se Ste 306, Grand Rapids, Michigan. You can contact this provider via phone number 6169490656. The mailing address for Lisa Gifford Johnson is 2020 Raybrook St Se Ste 306, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Gifford Johnson |
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Address | 2020 Raybrook St Se Ste 306, Grand Rapids, Michigan |
Phone Number | 6169490656 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSW |
NPI Number Detail
NPI Number | 1366637829 |
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Provider Enumeration Date | 2007-09-07 |
Last Updated Date | 2023-03-27 |
Provider Mailing Address Detail
Address | 2020 Raybrook St Se Ste 306 |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495467717 |
Phone Number | 6169490656 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801067023 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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8008931390 | MI | BCBS OF MI |
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What is the unique 10-digit identifier code issued to Lisa Gifford Johnson by the Centers for Medicare & Medicaid Services?
The Lisa Gifford Johnson has been assigned the NPI (National Provider Identifier) 1366637829 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lisa Gifford Johnson's facilities are situated?
The facilities of Lisa Gifford Johnson are physically located at the following address: 2020 Raybrook St Se Ste 306, Grand Rapids, MI, 495467717.
What is Lisa Gifford Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Gifford Johnson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Lisa Gifford Johnson receive its 1366637829 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Gifford Johnson was assigned its 1366637829 on 2007-09-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lisa Gifford Johnson most recently updated or revised?
The details related to Lisa Gifford Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-27.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY