Carol Petty Johnson in Bellaire - Clinical

Carol Petty Johnson - NPI 1487822995

Carol Petty Johnson is a Clinical in Bellaire, Texas. Carol Petty Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Petty Johnson is 1487822995. The last update date is 2008-02-19.

Carol Petty Johnson's current location address is 5959 West Loop S, Bellaire, Texas. You can contact this provider via phone number 7136608882 and fax number 7139772319. The mailing address for Carol Petty Johnson is 5959 West Loop S, Bellaire, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Petty Johnson
Address 5959 West Loop S, Bellaire, Texas
Phone Number 7136608882
Fax Number 7139772319
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1487822995
Provider Enumeration Date 2008-02-19
Last Updated Date 2008-02-19

Provider Mailing Address Detail

Address 5959 West Loop S
City Bellaire
State Texas (TX)
Post Code 774012421
Phone Number 7136608882
Fax Number 7139772319

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 440
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 Carol Petty Johnson

What is the unique 10-digit identification code assigned to Carol Petty Johnson by the Centers for Medicare & Medicaid Services?

The Carol Petty Johnson has been issued the NPI (National Provider Identifier) 1487822995, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Carol Petty Johnson is located?

The Carol Petty Johnson is situated at the following address: 5959 West Loop S, Bellaire, TX, 774012421.

What is the Carol Petty Johnson's specialty and taxonomy code?

The Carol Petty Johnson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Carol Petty Johnson receive its 1487822995 assignment from the Centers for Medicare & Medicaid Services?

The Carol Petty Johnson was assigned its 1487822995 by the Centers for Medicare & Medicaid Services on 2008-02-19.

As of what date were the details pertaining to Carol Petty Johnson last refreshed?

The information related to the Carol Petty Johnson, including its address, specialty, and other relevant details, was last updated on 2008-02-19.

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