Roderick Verne Johnson in Salt Lake City - Clinical
Roderick Verne Johnson - NPI 1780672915
Roderick Verne Johnson is a Clinical in Salt Lake City, Utah. Roderick Verne Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roderick Verne Johnson is 1780672915. The last update date is 2012-11-05.
Roderick Verne Johnson's current location address is 860 E 4500 S, Salt Lake City, Utah. You can contact this provider via phone number 8016859600 and fax number 8012683777. The mailing address for Roderick Verne Johnson is 860 E 4500 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roderick Verne Johnson |
|---|---|
| Address | 860 E 4500 S, Salt Lake City, Utah |
| Phone Number | 8016859600 |
| Fax Number | 8012683777 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780672915 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2012-11-05 |
Provider Mailing Address Detail
| Address | 860 E 4500 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841073002 |
| Phone Number | 8016859600 |
| Fax Number | 8012683777 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 134722-3501 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Roderick Verne Johnson by the Centers for Medicare & Medicaid Services?
The Roderick Verne Johnson has been issued the NPI (National Provider Identifier) 1780672915. This 10-digit code 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 Roderick Verne Johnson is located?
The Roderick Verne Johnson is situated at the following address: 860 E 4500 S, Salt Lake City, UT, 841073002.
Could you kindly provide the complete physical address where Roderick Verne Johnson's facilities are geographically located?
The facilities of Roderick Verne Johnson are physically situated at the following location: 860 E 4500 S, Salt Lake City, UT, 841073002.
What is Roderick Verne Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roderick Verne Johnson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780672915 to Roderick Verne Johnson?
The Centers for Medicare & Medicaid Services assigned the 1780672915 to Roderick Verne Johnson on 2005-10-11.