Organization Name: | MARIA JOHNSON |
NPI Number: | 1013354026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA G. JOHNSON (PRESIDENT) |
Mailing Address: | 430 W Merrick Rd Suite 25 Valley Stream |
State: | NY US |
Postal Code: | 115805201 |
Phone Number: | 5164511258 |
Fax Number: | 5162851616 |
NPI Enumeration Date: | 05/30/2013 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 080480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |