Roger Lee Johnson in Grand Forks - Clinical
Roger Lee Johnson - NPI 1306880885
Roger Lee Johnson is a Clinical in Grand Forks, North Dakota. Roger Lee Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roger Lee Johnson is 1306880885. The last update date is 2007-07-09.
Roger Lee Johnson's current location address is 151 S 4th St, Grand Forks, North Dakota. You can contact this provider via phone number 7017953000 and fax number 7017953050. The mailing address for Roger Lee Johnson is 151 S 4th St, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roger Lee Johnson |
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Address | 151 S 4th St, Grand Forks, North Dakota |
Phone Number | 7017953000 |
Fax Number | 7017953050 |
Sole Proprietor | X |
Credentials | MSW, LICSW |
NPI Number Detail
NPI Number | 1306880885 |
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Provider Enumeration Date | 2006-06-15 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 151 S 4th St |
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City | Grand Forks |
State | North Dakota (ND) |
Post Code | 582014715 |
Phone Number | 7017953000 |
Fax Number | 7017953050 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 78 |
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 |
---|---|---|---|
5333 | ND | BCBS ND PROVIDER NUMBER | |
54519 | ND | -- | |
50B57JO | MN | BCBS MN PROVIDER NUMBER |
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What is the unique 10-digit identifier code issued to Roger Lee Johnson by the Centers for Medicare & Medicaid Services?
The Roger Lee Johnson has been assigned the NPI (National Provider Identifier) 1306880885 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Roger Lee Johnson's physical address?
The Roger Lee Johnson is physically located at 151 S 4Th St, in the city of Grand Forks, ND, with the postal code 582014715.
What is Roger Lee Johnson's area of expertise and its corresponding taxonomy classification?
The Roger Lee Johnson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1306880885 to Roger Lee Johnson?
The Roger Lee Johnson received its 1306880885 assignment from the Centers for Medicare & Medicaid Services on 2006-06-15.
When was the information regarding Roger Lee Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roger Lee Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
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