Chad Robert Johnson in Houghton - Clinical
Chad Robert Johnson - NPI 1306950548
Chad Robert Johnson is a Clinical in Houghton, Michigan. Chad Robert Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chad Robert Johnson is 1306950548. The last update date is 2007-07-08.
Chad Robert Johnson's current location address is 901 W. Memorial Dr., Houghton, Michigan. You can contact this provider via phone number 9044829400 and fax number 9064830269. The mailing address for Chad Robert Johnson is 901 W. Memorial Dr., Houghton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Robert Johnson |
|---|---|
| Address | 901 W. Memorial Dr., Houghton, Michigan |
| Phone Number | 9044829400 |
| Fax Number | 9064830269 |
| Sole Proprietor | N |
| Credentials | LBSW |
NPI Number Detail
| NPI Number | 1306950548 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 901 W. Memorial Dr. |
|---|---|
| City | Houghton |
| State | Michigan (MI) |
| Post Code | 49931 |
| Phone Number | 9044829400 |
| Fax Number | 9064830269 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6802082714 |
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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 Chad Robert Johnson's 1306950548?
The Chad Robert Johnson's NPI (National Provider Identifier) Number is 1306950548. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Chad Robert Johnson's physical address?
The Chad Robert Johnson is physically located at 901 W. Memorial Dr., in the city of Houghton, MI, with the postal code 49931.
What is Chad Robert Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Chad Robert Johnson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Chad Robert Johnson receive its 1306950548 assignment from the Centers for Medicare & Medicaid Services?
The Chad Robert Johnson was assigned its 1306950548 by the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the Chad Robert Johnson's details last updated?
The information pertaining to the Chad Robert Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-08.