Jay Johnson is a Clinical in Sentinel Butte, North Dakota. Jay Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jay Johnson is 1134249220. The last update date is 2007-07-08.
Jay Johnson's current location address is 16351 I94, Sentinel Butte, North Dakota. You can contact this provider via phone number 7018723745 and fax number 7018723748. The mailing address for Jay Johnson is 16351 I94, Sentinel Butte, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Johnson |
|---|---|
| Address | 16351 I94, Sentinel Butte, North Dakota |
| Phone Number | 7018723745 |
| Fax Number | 7018723748 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1134249220 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16351 I94 |
|---|---|
| City | Sentinel Butte |
| State | North Dakota (ND) |
| Post Code | 586549500 |
| Phone Number | 7018723745 |
| Fax Number | 7018723748 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4012 |
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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 |
|---|---|---|---|
| 19170 | ND | -- | |
| 27570 | ND | BS OF ND |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jay Johnson by the Centers for Medicare & Medicaid Services?
The Jay Johnson has been issued the NPI (National Provider Identifier) 1134249220 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 Jay Johnson is located?
The Jay Johnson is situated at the following address: 16351 I94, Sentinel Butte, ND, 586549500.
What is the Jay Johnson's specialty and taxonomy code?
The Jay Johnson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1134249220 assigned to Jay Johnson?
The Jay Johnson was issued its 1134249220 on 2007-03-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jay Johnson most recently updated or revised?
The information pertaining to Jay Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.