Lara Breed Johnson in Kansas City - Clinical

Lara Breed Johnson - NPI 1710923487

Lara Breed Johnson is a Clinical in Kansas City, Missouri. Lara Breed Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lara Breed Johnson is 1710923487. The last update date is 2007-07-08.

Lara Breed Johnson's current location address is 3217 Broadway St, Kansas City, Missouri. You can contact this provider via phone number 8167535280 and fax number 8167534219. The mailing address for Lara Breed Johnson is 3217 Broadway St, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Lara Breed Johnson
Address 3217 Broadway St, Kansas City, Missouri
Phone Number 8167535280
Fax Number 8167534219
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1710923487
Provider Enumeration Date 2006-06-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3217 Broadway St
City Kansas City
State Missouri (MO)
Post Code 641112656
Phone Number 8167535280
Fax Number 8167534219

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2001011721
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 Lara Breed Johnson

What is the unique 10-digit identifier code assigned to Lara Breed Johnson by the Centers for Medicare & Medicaid Services?

The Lara Breed Johnson has been issued the NPI (National Provider Identifier) 1710923487 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Lara Breed Johnson is located?

The Lara Breed Johnson is situated at the following address: 3217 Broadway St, Kansas City, MO, 641112656.

What is Lara Breed Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lara Breed Johnson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1710923487 to Lara Breed Johnson?

The Lara Breed Johnson received its 1710923487 assignment from the Centers for Medicare & Medicaid Services on 2006-06-21.

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

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

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